Individual provider Active NPI

Mackenzie Joyce Lewis-Whitlow, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1760322135
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2937 Issued in NC
Practice address
9101 Leesville Rd Ste 124
Raleigh, NC 27613-4091
Phone
(919) 629-9208
Fax
(919) 364-6726
NPI assigned
Mar 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2937 NC Primary

Addresses

Primary practice location

9101 Leesville Rd Ste 124
Raleigh, NC 27613-4091

Mailing address

530 Beaver Ridge Rd
Collinsville, VA 24078-3081
Phone (276) 634-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0618003641VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1760322135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BEAVER RIDGE RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240783081",
            "telephone_number": "276-634-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 LEESVILLE RD STE 124",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134091",
            "telephone_number": "919-629-9208",
            "fax_number": "919-364-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-WHITLOW",
        "first_name": "MACKENZIE",
        "middle_name": "JOYCE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.