Individual provider Active NPI

Aaron John Whitsett, OD

  • Optometrist
  • Kalamazoo, MI
National Provider Identifier
1720128895
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004329 Issued in MI
Practice address
3013 Oakland Dr
Kalamazoo, MI 49008-5901
Phone
(269) 382-3453
Fax
(269) 382-2740
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004329 MI Primary

Addresses

Primary practice location

3013 Oakland Dr
Kalamazoo, MI 49008-5901

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070810000016 MI Practitioner - Optometry 7416048137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3013 Oakland Dr
Kalamazoo, MI 49008-5901
Phone (269) 382-3453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients

Locations

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

2067 S Drake Rd
Kalamazoo, MI 49006
Phone (269) 366-3664

5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

3013 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 382-3453

6123 S Westnedge Ave
Portage, MI 49002
Phone (269) 327-7079

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: awhitsett020418@myeyedr.emadirect.md

Organizations & group practices 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1720128895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 OAKLAND DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085901",
            "telephone_number": "269-382-3453",
            "fax_number": "269-382-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSETT",
        "first_name": "AARON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.