Russell Lee Whatley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-720-TA-192 Issued in AL

Practice address

518 Avenue a
Opelika, AL 36801-5064

Phone

(334) 745-3112

Fax

(334) 745-8751

NPI assigned

Dec 4, 2006

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 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Southern Eye Care Associates LLCGroup PAC ID 8123374469, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Eye Care Associates LLC

  • Optometrist
  • Opelika, AL
  • NPI 1710481387
  Medicare reassignment Care Compare group
• Whatley Eye Care, P.C.

  • Optometrist
  • Opelika, AL
  • NPI 1538237771
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740358076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 AVENUE A",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015064",
            "telephone_number": "334-745-3112",
            "fax_number": "334-745-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 AVENUE A",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015064",
            "telephone_number": "334-745-3112",
            "fax_number": "334-745-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "RUSSELL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-720-TA-192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "OT42627",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934524",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "51531835",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Whaley, DO
• Dakota Whaley, LAT, ATC
• Whatley Eye Care, P.C.
• Adele Whatley, MSPT
• James Rodman Whatley, M.D.
• Wesley Stites Whatley, MD
• William Biggers Whatley III, M.D.
• Melissa Rogers Wheeles, CRNP
• Whitaker Drugs Opelika, LLC
• Amanda Whitaker, PHARMD

• Optometrist in Opelika, AL
• Providers in Opelika, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.