Benjamin Lane Whittredge, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1882 Issued in KS

Practice address

3120 N Plum St
Hutchinson, KS 67502-2918

Phone

(620) 662-2355

Fax

(620) 662-1102

NPI assigned

Jan 20, 2006

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.whittredge@khindirect.org
• Direct secure messaging: direct@deballodrdhansenodhutchinsonks.compulinkdirect.com

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.

• Douglas E Ball OD PA

  dba Southwind Eyecare

  • Optometrist
  • Hutchinson, KS
  • NPI 1124021084
  Medicare reassignment NPD Authorized official
• Vitreo-Retinal Consultants & Surgeons PA

  • Retina Specialist (Ophthalmology) Physician
  • Wichita, KS
  • NPI 1275557761
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1407836968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N PLUM ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022918",
            "telephone_number": "620-662-2355",
            "fax_number": "620-662-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 N PLUM ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022918",
            "telephone_number": "620-662-2355",
            "fax_number": "620-662-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTREDGE",
        "first_name": "BENJAMIN",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1882",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003558A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S Wheeler, ARNP
• Cayla Nicole White, APRN/NP
• Dessirae White, RN
• Margaret Ann White
• William R Whitlow, D.D.S.
• Wichert Optometry LLC
• Brent Alan Wichert, O.D.
• Kimberly Widler, NP-C
• Breanna Kristen Wiles, D.D.S.
• Matthew Wiles, DDS

• Optometrist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.