Nicole Susan Whitaker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5826 Issued in OH

Practice address

2540 Maysville Pike
Zanesville, OH 43701-7561

Phone

(740) 450-2733

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Paul a Hoffman OD

  • Durable Medical Equipment & Medical Supplies
  • Zanesville, OH
  • NPI 1205128139
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1760633424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017561",
            "telephone_number": "740-450-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017561",
            "telephone_number": "740-450-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "NICOLE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wheeler, PHARMD
• Jessica Wheeler
• Linda Kay Whikehart, LISW, LICDC
• Vicki Ann Whitacre, MD
• Deseree Passion Whitaker
• Ralph Michael Whitaker, D.D.S.
• Jasmine Hessam White, PA
• Lori Ann White, LPN
• Raya White, DNP, APRN, PMHNP BC
• Junior Eli Whitlatch, BA, QMHS

• Optometrist in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.