Active NPI
Whitson Vision PC
- Ophthalmology Physician
- Mooresville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01036301A
- Legal business name
- WHITSON VISION PC
- Practice address
- 1201 Hadley Rd
Suite 203
Mooresville, IN 46158-1737 - Phone
- (317) 217-3937
- Fax
- (317) 217-3950
- NPI assigned
- Jul 15, 2006
- Last updated
- Jun 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William E Whitson, MD
- Title
- Owner
- Phone
- (317) 844-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002221A | IN | |
| Ophthalmology Physician | 207W00000X | 01036301A | IN | Primary |
Addresses
Primary practice location
1201 Hadley Rd
Suite 203
Mooresville, IN 46158-1737
Mailing address
901 E 86TH St
Indianapolis, IN 46240-1807
Phone (317) 844-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000102683 | Other | IN | BC/BS GROUP # |
| 100072590 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
1201 Hadley Rd
Ste 203
Mooresville, IN 46158
Phone (317) 217-3937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1912935313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1457377905",
"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": "1201 HADLEY RD",
"address_2": "SUITE 203",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461581737",
"telephone_number": "317-217-3937",
"fax_number": "317-217-3950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITSON VISION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2008-06-25",
"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": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002221A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01036301A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP #",
"identifier": "000000102683",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100072590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.