Jeffery Lee Whittington, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

765-OD Issued in WV

Practice address

3840 Pennsylvania Ave
Charleston, WV 25302-4650

Phone

(304) 342-0660

Fax

(304) 344-5483

NPI assigned

May 31, 2005

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Whittington and Whittington PTRGroup PAC ID 5698704351, 7 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Whittington & Whittington PTR

  • Optometrist
  • Charleston, WV
  • NPI 1629130810
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1710980107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SENECA HILLS",
            "city": "ELKVIEW",
            "state": "WV",
            "postal_code": "25071",
            "telephone_number": "304-965-6630",
            "fax_number": "304-344-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PENNSYLVANIA AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024650",
            "telephone_number": "304-342-0660",
            "fax_number": "304-344-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "JEFFERY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "765-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150926000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Whittington
• Andrea Whittington
• Ashley Whittington
• Christina Dawn Whittington, FPSS
• Heather Dawn Whittington, RD, LD
• Mark Jeffery Whittington, OD
• Sandra H Whittington, OD
• Sarah Lynne Wick
• Amanda Wickline
• Lesle Beth Wickline, M.ED

• Optometrist in Charleston, WV
• Providers in Charleston, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.