Organization Active NPI

Whitson Vision, PC

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1396780599
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50002766A Issued in IN
Legal business name
WHITSON VISION, PC
Practice address
901 E 86TH St
Indianapolis, IN 46240-1807
Phone
(317) 844-5500
Fax
(317) 573-4230
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
William E Whitson, M.D.
Title
Owner
Phone
(317) 844-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 18002221A IN
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 50002766A IN Primary

Addresses

Primary practice location

901 E 86TH St
Indianapolis, IN 46240-1807

Mailing address

901 E 86TH St
Indianapolis, IN 46240-1807
Phone (317) 844-5500

Other identifiers 1

IdentifierTypeStateIssuer
000000102683OtherINBC/BS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916001235 IN Part B Supplier - Clinic/Group Practice 9931177029 Receives reassigned benefits from 10 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brownsburg, IN; Indianapolis, IN

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2019488Whitson Vision PC901 E 86TH St, Indianapolis, IN 46240Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

1818 Carew St
Ste 300
Fort Wayne, IN 46805
Phone (219) 482-8241

9002 N Meridian St
Ste 106
Indianapolis, IN 46260
Phone (317) 844-5500

901 E 86th St
#2
Indianapolis, IN 46240

1201 Hadley Rd
#203
Mooresville, IN 46158
Phone (317) 217-3937

Interoperability endpoints

  • Direct secure messaging: akehoe@whitsonvision.intellechartdirect.net
  • Direct secure messaging: cmcmanis@whitsonvision.intellechartdirect.net
  • Direct secure messaging: mdoore@whitsonvision.intellechartdirect.net
  • Direct secure messaging: agrove@whitsonvision.intellechartdirect.net
  • Direct secure messaging: lcolon@whitsonvision.intellechartdirect.net
  • Direct secure messaging: wwhitson@whitsonvision.intellechartdirect.net
  • Direct secure messaging: dfisher@whitsonvision.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1396780599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401807",
            "telephone_number": "317-844-5500",
            "fax_number": "317-573-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401807",
            "telephone_number": "317-844-5500",
            "fax_number": "317-573-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITSON VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-844-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002221A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "50002766A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP #",
            "identifier": "000000102683",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.