Cody Harris Whiddon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9508TG Issued in TX

Practice address

3905 Victory Dr
Marshall, TX 75672-4755

Phone

(903) 935-2861

NPI assigned

Aug 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cody Whiddon Inc.

  • Optometrist
  • Marshall, TX
  • NPI 1811186414
  Medicare reassignment NPD Authorized official
• Dehaven Eye Clinic PA

  • Certified Registered Nurse Anesthetist
  • Tyler, TX
  • NPI 1972657773
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1588143598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 VICTORY DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756724755",
            "telephone_number": "903-935-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 VICTORY DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756724755",
            "telephone_number": "903-935-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIDDON",
        "first_name": "CODY",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9508TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #21553)
• Walgreen Co (Walgreens #06196)
• Ward Eye Associates PC
• Whelchel Primary Care Medicine PA
• Dawn R. Whelchel, M.D.
• Michael Whitaker, CST
• Stephanie Sue White, APRN, PMHNP-BC
• Laterrian Wiley
• Johnetta Williams, R.N.
• Philleniea Williams, MAR

• Optometrist in Marshall, TX
• Providers in Marshall, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.