Active NPI
Karl Whiting, DO
- Optometrist
- Mobile, AL
National Provider Identifier
1417919648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3A90TA658
- Practice address
- 601 E I65 Service Rd S
Mobile, AL 36606-3901 - Phone
- (251) 479-4458
- Fax
- (251) 479-4824
- NPI assigned
- Apr 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-A90-TA-658 | AL | |
| Optometrist | 152W00000X | 3A90TA658 | AL | Primary |
Addresses
Primary practice location
601 E I65 Service Rd S
Mobile, AL 36606-3901
Mailing address
PO Box 850531
Mobile, AL 36685-0531
Phone (251) 479-4458
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631400152 | Medicaid | AL | |
| 51524367 | Other | AL | BCBS PROVIDER NUMBER |
| 051524367 | Other | AL | MEDICARE PROVIDER NUMBER |
| 631409152 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3A90TA658 | AL | MD | Optometrist |
| S-A90-TA-658 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whiting Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Franklin Primary Health Center Inc. | Optometrist | Current | Accepting new patients |
| Franklin Primary Health Center, Inc | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Current | Accepting new patients |
Locations
301 Saint Joseph St
Mobile, AL 36602
Phone (251) 433-7717
601 E I65 Service Rd S
Mobile, AL 36606
Phone (251) 479-4458
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Optometrist
-
- Optometrist
- Mobile, AL
- NPI 1386258523
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1710117213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1417919648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850531",
"city": "MOBILE",
"state": "AL",
"postal_code": "366850531",
"telephone_number": "251-479-4458",
"fax_number": "251-479-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E I65 SERVICE RD S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063901",
"telephone_number": "251-479-4458",
"fax_number": "251-479-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "KARL",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-A90-TA-658",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "3A90TA658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631400152",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "51524367",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "051524367",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631409152",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.