Shane Robert Whitney, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6472 Issued in FL

Practice address

3226 E Colonial Dr
Orlando, FL 32803-5110

Phone

(407) 203-5801

NPI assigned

Jun 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• America's Best Contacts & Eyeglasses

  • Optician
  • Orlando, FL
  • NPI 1730529231
  NPD (past)

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1376385831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 JEWELL AVE APT 280",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895585",
            "telephone_number": "850-284-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035110",
            "telephone_number": "407-203-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 Boston Tpke Apt 5",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "MA",
            "postal_code": "015453917",
            "country_code": "US",
            "telephone_number": "850-284-7742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1885 Jewell Ave Apt 280",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327895585",
            "country_code": "US",
            "telephone_number": "850-284-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "SHANE",
        "middle_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Whitley, PA-C
• Shaaraim Kishon Jennawe Whitley, APRN
• Jennifer Whitlock, CCC-SLP
• Bradley Daniel Whitman
• Cara Whitney-Galindo
• Sandra Lynne Whitson, BS DC
• Tami Kae Whitson, OTR
• Leann Marie Whitt, PA-C
• Shaughn Randall Whittaker
• Rosario Whittemore

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.