Active NPI
Laura Leanne Whitaker, O.D.
- Optometrist
- Athens, AL
National Provider Identifier
1710967609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S889TA445
- Practice address
- 22894 US Highway 72
Athens, AL 35613 - Phone
- (256) 232-2409
- Fax
- (256) 232-2402
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S889TA445 | AL | Primary |
Addresses
Primary practice location
22894 US Highway 72
Athens, AL 35613
Mailing address
22894 US Highway 72
Athens, AL 35613
Phone (256) 232-2409
Other practice location 1
22984 US Highway 72
Athens, AL 35613
Phone (256) 232-2409
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4835600001 | Other | AL | DME |
| 51514732 | Medicaid | AL | |
| 51514732 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22894 US Hwy 72
Athens, AL 35613-7671
Phone (256) 232-2409
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S889TA445 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Eye Care Center, P.C. | Optometrist | Current | Accepting new patients |
| Maynor & Mitchell Eye Center PC | Past | Accepting new patients |
Locations
22894 US Highway 72
Athens, AL 35613
Phone (256) 232-2409
309 W Market St
Athens, AL 35611
Phone (256) 232-2409
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.
-
- Optometrist
- Athens, AL
- NPI 1881781268
-
- Ophthalmology Physician
- Huntsville, AL
- NPI 1659489409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1710967609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22894 US HIGHWAY 72",
"city": "ATHENS",
"state": "AL",
"postal_code": "35613",
"telephone_number": "256-232-2409",
"fax_number": "256-232-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22894 US HIGHWAY 72",
"city": "ATHENS",
"state": "AL",
"postal_code": "35613",
"telephone_number": "256-232-2409",
"fax_number": "256-232-2402"
}
],
"practiceLocations": [
{
"address_1": "22984 US HIGHWAY 72",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "AL",
"postal_code": "35613",
"country_code": "US",
"telephone_number": "256-232-2409",
"fax_number": "256-232-2402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITAKER",
"first_name": "LAURA",
"middle_name": "LEANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S889TA445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "4835600001",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51514732",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51514732",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.