Whitworth Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3371 Issued in MO

Legal business name

WHITWORTH OPTOMETRY, P.C.

Practice address

19045 E Valley View Pkwy Ste a
Independence, MO 64055-7030

Phone

(816) 795-7777

Fax

(816) 795-1290

NPI assigned

Jul 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Glade Whitworth, O.D.NPI 1003848615

Title

President

Phone

(816) 795-7777

Specialties & licenses 1

Addresses

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.

• Patrick Glade Whitworth, O.D.

  • Optometrist
  • Independence, MO
  • NPI 1003848615
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639198807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 E VALLEY VIEW PKWY STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557030",
            "telephone_number": "816-795-7777",
            "fax_number": "816-795-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19045 E VALLEY VIEW PKWY STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557030",
            "telephone_number": "816-795-7777",
            "fax_number": "816-795-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITWORTH OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "GLADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Crystal Emergency Physicians, LLC
• Alexis Renee White
• Jerry Chad White, DO
• Karalee White, CTRS
• Ronnie Whitebear-Short
• Lee Anne Whitworth, O.D.
• Patrick Glade Whitworth, O.D.
• Susan Appleberry Widick, D.D.S.
• Erin Emily Wieland
• Heather Elayne Wieners, RPH

• Optometrist in Independence, MO
• Providers in Independence, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.