NPIMap

Organization Active NPI

Whitsett Vision Group PLLC

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1750597423
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WHITSETT VISION GROUP PLLC
Practice address
1237 Campbell Rd
Houston, TX 77055-6453
Phone
(713) 365-9099
Fax
(713) 365-9356
NPI assigned
May 16, 2007
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Nani Williams
Title
Office Manager
Phone
(713) 581-6827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1237 Campbell Rd
Houston, TX 77055-6453

Mailing address

23510 Kingsland Blvd
Suite 200
Katy, TX 77494-4125
Phone (713) 581-6833

Other identifiers 1

IdentifierTypeStateIssuer
00376ROtherTXMEDICARE PTAN

Other names 1

  • Jeffrey C Whitsett Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601000428 TX Part B Supplier - Clinic/Group Practice 3577830280 Receives reassigned benefits from 10 practitioners
Practice locations: Houston, TX; Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2072031Whitsett Vision Group1237 Campbell Road, Houston, TX 77055Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey C Whitsett2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23510 Kingsland Blvd
Ste 200
Katy, TX 77494
Phone (713) 365-9099

23530 Kingsland Blvd
Ste 340
Katy, TX 77494

Interoperability endpoints

  • Direct secure messaging: cwoon@whitsettmd.intellechartdirect.net
  • Direct secure messaging: jmckey@whitsettmd.intellechartdirect.net
  • Direct secure messaging: jwhitsett@whitsettmd.intellechartdirect.net
  • Direct secure messaging: kbravenec@whitsettmd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1750597423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23510 KINGSLAND BLVD",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944125",
            "telephone_number": "713-581-6833",
            "fax_number": "281-395-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 CAMPBELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556453",
            "telephone_number": "713-365-9099",
            "fax_number": "713-365-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITSETT VISION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-581-6827"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00376R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey C Whitsett",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.