Whelan Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2110 Issued in MN

Legal business name

WHELAN EYE CARE, INC.

Doing business as

White Spruce Optometry

Practice address

1900 Division St W Unit 5
Bemidji, MN 56601-6397

Phone

(218) 759-1430

Fax

(218) 444-9086

NPI assigned

Aug 3, 2006

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren HazeltonNPI 1912314774

Title

Optometrist/President

Phone

(907) 306-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• White Spruce Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Michelle Dobson Hazelton, OD

  • Optometrist
  • Bemidji, MN
  • NPI 1912314774
  Medicare reassignment Care Compare group NPD Authorized official
• Alexander Charles Fenson, OD

  • Optometrist
  • Bemidji, MN
  • NPI 1942183140
  Medicare reassignment Care Compare group NPD
• Kynndyl Paige Giannonatti, OD

  • Optometrist
  • Bemidji, MN
  • NPI 1215599980
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1316955941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DIVISION ST W",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016396",
            "telephone_number": "218-759-1430",
            "fax_number": "218-444-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DIVISION ST W UNIT 5",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016397",
            "telephone_number": "218-759-1430",
            "fax_number": "218-444-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHELAN EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "HAZELTON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "907-306-8300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "933718100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548523100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Spruce Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Westover, FNP-C
• Jordan Westrum, PHARMD
• Marlee Westrum
• Bailey Michele Wethern, LICSW
• Daniel Ewen Wheeler, M.D.
• Amber Rai Whelan, LADC
• Maureen Whelan, O.D.
• White Earth Band of Ojibwe (Oshki Manidoo MAT Program)
• White Earth Oshki Manidoo New Spirit Center (Oshki Manidoo Center)
• Diane Elaine White

• Optometrist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.