William Lee Whitaker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000975 Issued in GA

Practice address

2032 Veterans Blvd Ste a
Dublin, GA 31021-3065

Phone

(478) 272-3445

Fax

(478) 272-4802

NPI assigned

Jun 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1447299581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 VETERANS BLVD STE A",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213065",
            "telephone_number": "478-272-3445",
            "fax_number": "478-272-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000230271A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Alan Wetherhold, MS, LMHC
• Kayla Marie Wheeler, RBT
• Rebecca K. Whigham, D.D.S.
• Seigee C. Whipple, FNP
• Morgan Manley Whitaker, FNP
• Courtney White, PT, DPT
• Rachel Mary White, LPC
• Alanna Blair Whitfield, PHARMD
• Gregory Ruben Whittle, RPH
• John Lawrence Whittle, DDS

• Optometrist in Dublin, GA
• Providers in Dublin, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.