Individual provider Active NPI

Makenzie L. McWhorter, O.D.

  • Optometrist
  • London, KY
National Provider Identifier
1720531064
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2021DT Issued in KY
Practice address
103 Chera Lynn St
London, KY 40741-3142
Phone
(606) 878-7500
Fax
(606) 878-8005
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2021DT KY Primary

Addresses

Primary practice location

103 Chera Lynn St
London, KY 40741-3142

Mailing address

103 Chera Lynn St
London, KY 40741-3142
Phone (606) 878-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160922001317 KY Practitioner - Optometry 1254628084 Reassigns benefits to 1 organization
I20170405000491 IN Practitioner - Optometry 1254628084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webb Family Eyecare of Indiana IncGroup PAC ID 9436460243, 4 clinicians
Webb Family Eyecare PLCGroup PAC ID 8325266190, 4 clinicians

Practice addresses (Care Compare)

1570 Veterans Pkwy
Jeffersonville, IN 47130-7137
Phone (812) 288-8566

4216 Summit Plaza Dr
Louisville, KY 40241-8106
Phone (502) 327-1302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Family Eyecare of Indiana Inc. Optometrist CurrentSince Mar 21, 2017 Accepting new patients
Webb Family Eyecare PLC Optometrist CurrentSince Jan 7, 2017 Accepting new patients

Locations

757 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 288-6681

1570 Veterans Pkwy
Jeffersonville, IN 47130
Phone (812) 284-1533

4216 Summit Plaza Dr
Louisville, KY 40241
Phone (502) 327-1091

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

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1720531064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHERA LYNN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413142",
            "telephone_number": "606-878-7500",
            "fax_number": "606-878-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHERA LYNN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413142",
            "telephone_number": "606-878-7500",
            "fax_number": "606-878-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHORTER",
        "first_name": "MAKENZIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2021DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.