Ivan Russell Whetten, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

400T Issued in WY

Practice address

2624 Commercial Way
Ste B
Rock Springs, WY 82901-4769

Phone

(307) 382-3753

NPI assigned

Jul 23, 2015

Sex

Male

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 UT

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

University of Houston - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reese and Weaver Ods LLCGroup PAC ID 8426079690, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reese and Weaver, Ods LLC

  • Optometrist
  • Saratoga Springs, UT
  • NPI 1851468953
  Medicare reassignment Care Compare group NPD
• Ion Vision PLLC

  • Optometrist
  • Murray, UT
  • NPI 1376099432
  Medicare reassignment NPD
• Reese & Weaver DDS LLC

  • Optometrist
  • Highland, UT
  • NPI 1356778252
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Holladay, UT
  • NPI 1043311582
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Roy, UT
  • NPI 1396832655
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Tooele, UT
  • NPI 1477654846
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Murray, UT
  • NPI 1508967977
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Taylorsville, UT
  • NPI 1689775041
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Layton, UT
  • NPI 1760583298
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Salt Lake City, UT
  • NPI 1962599290
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1780069401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 COMMERICAL WAY STE B",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014769",
            "telephone_number": "307-382-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 COMMERCIAL WAY",
            "address_2": "STE B",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014769",
            "telephone_number": "307-382-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETTEN",
        "first_name": "IVAN",
        "middle_name": "RUSSELL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "400T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Deanne Wester, MT
• Western Wyoming Family Planning
• Western Wyoming Neurology PC
• Wevolve Counseling, LLC
• Jeffery D Wheeler, MD
• White Mountain Dental
• Nicole Whiting
• Jennifer Whitten, LCSW
• Scott David Wilcox, M.S.L.P.C.
• Wild Willow Therapy LLC

• Optometrist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.