Individual provider Active NPI

Andrew Scott Whitley, O.D.

  • Optometrist
  • Durant, OK
National Provider Identifier
1588096432
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2832 Issued in OK
Practice address
1901 W University Blvd
Durant, OK 74701-3098
Phone
(580) 920-2020
Fax
(580) 924-5656
NPI assigned
Aug 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1937DT KY
Optometrist 152W00000X 18003816A IN
Optometrist 152W00000X 2832 OK Primary

Addresses

Primary practice location

1901 W University Blvd
Durant, OK 74701-3098

Mailing address

PO Box 1426
Durant, OK 74702-1426
Phone (580) 920-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140829000144 OK Practitioner - Optometry 9436377678 Reassigns benefits to 4 organizations
I20211025001726 TX Practitioner - Optometry 9436377678 Reassigns benefits to 2 organizations
I20260608002522 MO Practitioner - Optometry 9436377678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Success Vision Express of Sand Springs, LLCGroup PAC ID 3274682927, 6 clinicians

Practice addresses (Care Compare)

230 S Hwy 97
Suite B
Sand Springs, OK 74063-6571
Phone (918) 241-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003816AINMDOptometrist
1937DTKYMDOptometrist
2832OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics Optometrist Current Accepting new patients
Cherokee Nation CurrentSince Aug 23, 2021 Accepting new patients
Success Vision Express of Tulsa, LLC Optometrist CurrentSince May 25, 2022 Accepting new patients
Cherokee Nation CurrentSince Aug 23, 2021 Accepting new patients
Success Vision Express of Chesterfield LLC Optometrist CurrentSince Jun 1, 2026 Accepting new patients
Success Vision Express of Sand Springs, LLC Optometrist CurrentSince May 25, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Northeastern State University College of Optometry Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Success Vision Eyecare of Cape, LLC Optometrist CurrentSince Jun 1, 2026 Accepting new patients
Success Vision Eyecare of Chesterfield LLC Optometrist CurrentSince Jun 1, 2026 Accepting new patients
Dr. Samuel Presley & Associates, Inc. Optometrist PastSince May 25, 2022 Accepting new patients
Tulsa Eye Specialty, LLC Optometrist Past Accepting new patients

Locations

2 Thf Blvd
Chesterfield, MO 63005
Phone (314) 350-2020

3019 William St
Ste 102
Cpe Girardeau, MO 63703
Phone (573) 335-2020

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

230 S Highway 97
Ste B
Sand Springs, OK 74063
Phone (918) 241-2020

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000

1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511

2121 S Columbia Ave
Ste 300
Tulsa, OK 74114
Phone (918) 395-2020

7472 E Admiral Pl
Tulsa, OK 74115
Phone (918) 834-2929

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 2269
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: dr.andrew.whitley@clayrhynes.eyefinity-direct.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1588096432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747021426",
            "telephone_number": "580-920-2020",
            "fax_number": "580-924-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013098",
            "telephone_number": "580-920-2020",
            "fax_number": "580-924-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1937DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003816A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.