Individual provider Active NPI

Jeffrey Paul Wilhite, O.D.

  • Optometrist
  • Marrero, LA
National Provider Identifier
1639424997
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1635669T Issued in LA
Practice address
1981 Barataria Blvd
Marrero, LA 70072-4200
Phone
(504) 371-8700
Fax
(504) 340-4468
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1635669T LA Primary

Addresses

Primary practice location

1981 Barataria Blvd
Marrero, LA 70072-4200

Mailing address

1981 Barataria Blvd
Marrero, LA 70072-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150206000552 LA Practitioner - Optometry 3476878802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater New Orleans Eye Care LLCGroup PAC ID 3779808100, 2 clinicians

Practice addresses (Care Compare)

1670 Barataria Blvd
Suite D
Marrero, LA 70072-4354
Phone (504) 348-2993

1670 Barataria Blvd D
Marrero, LA 70072-4354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1635669TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New Orleans Eye Care-Destrehan LLC Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1639424997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724200",
            "telephone_number": "504-371-8700",
            "fax_number": "504-340-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1635669T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.