NPIMap

Organization Active NPI

Susan S Whaley OD LLC

  • Optometrist
  • Tallahassee, FL
National Provider Identifier
1790804664
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2689 Issued in FL
Legal business name
SUSAN S WHALEY OD LLC
Doing business as
Tallahssee Eye Center
Practice address
2858 Mahan Dr
Suite 4
Tallahassee, FL 32308-5446
Phone
(850) 671-3936
Fax
(850) 671-3239
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Susan S Whaley
Title
Manager
Phone
(850) 671-3936

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OP2689 FL Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC3457 FL

Addresses

Primary practice location

2858 Mahan Dr
Suite 4
Tallahassee, FL 32308-5446

Mailing address

2858 Mahan Dr
Suite 4
Tallahassee, FL 32308-5446
Phone (850) 671-3936

Other names 1

  • Tallahssee Eye Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1790804664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 MAHAN DR",
            "address_2": "SUITE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085446",
            "telephone_number": "850-671-3936",
            "fax_number": "850-671-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 MAHAN DR",
            "address_2": "SUITE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085446",
            "telephone_number": "850-671-3936",
            "fax_number": "850-671-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S WHALEY OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-671-3936"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2689",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahssee Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.