Active NPI
Nicholas Whiting, OD
- Optometrist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5823
- Practice address
- 3500 US Highway 1
Vero Beach, FL 32960-4511 - Phone
- (772) 299-1404
- Fax
- (772) 299-1455
- NPI assigned
- Jun 1, 2020
- Last updated
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5823 | FL | Primary |
Addresses
Primary practice location
3500 US Highway 1
Vero Beach, FL 32960-4511
Mailing address
3500 US Highway 1
Vero Beach, FL 32960-4511
Other practice location 1
580 W 8th St
Tower 2, 3rd Floor
Jacksonville, FL 32209
Phone (904) 244-9390
Other practice location 2
2215 Nebraska Ave Ste 2-H
Fort Pierce, FL 34950-4866
Phone (772) 410-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 US Hwy 1
Vero Beach, FL 32960-4511
Phone (772) 299-1404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5823 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| William J. Mallon, MD | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients |
Locations
2215 Nebraska Ave
Ste 2-H
Fort Pierce, FL 34950
Phone (772) 410-2810
580 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3960
580 W 8th St
Fl 3
Jacksonville, FL 32209
Phone (904) 244-9390
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
3500 US Highway 1
Vero Beach, FL 32960
Phone (772) 202-6625
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Advanced Eye Care
- Ophthalmology Physician
- Vero Beach, FL
- NPI 1649353582
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Ophthalmology Physician
- Jacksonville, FL
- NPI 1386804656
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1366066771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604511",
"telephone_number": "772-299-1404",
"fax_number": "772-299-1455"
}
],
"practiceLocations": [
{
"address_1": "580 W 8th St",
"address_2": "Tower 2, 3rd Floor",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32209",
"country_code": "US",
"telephone_number": "904-244-9390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Nebraska Ave Ste 2-H",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504866",
"country_code": "US",
"telephone_number": "772-410-2810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITING",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-01",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Patricia Schultz White, ARNP
- Rebekah White
- Haley Macon Whitfield
- Whiting Pediatric Therapy Services, LLC.
- Emily M. Whiting, PH.D.,CCC-SLP
- Whitney Guidebeck Legler Psy D P a
- Whole Family Health Center, Inc.
- Whole Family Health Center, Inc.
- Whole Family Health Center, Inc.
- Whole Family Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.