NPIMap

Organization Active NPI

Oliver Wendall Whitney a Professional Optometry Corp (Apoc)

  • Optometrist
  • Mandeville, LA
National Provider Identifier
1821223231
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
810300 Issued in LA
Legal business name
OLIVER WENDALL WHITNEY A PROFESSIONAL OPTOMETRY CORP (APOC)
Practice address
1580 W Causeway Approach
Suite 3
Mandeville, LA 70471-3033
Phone
(985) 626-5242
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Oliver Wendell Whitney, O.D.
Title
President
Phone
(985) 626-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 810300 LA Primary

Addresses

Primary practice location

1580 W Causeway Approach
Suite 3
Mandeville, LA 70471-3033

Mailing address

PO Box 879
Mandeville, LA 70470-0879
Phone (985) 626-5242

Other identifiers 1

IdentifierTypeStateIssuer
1176923MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1821223231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700879",
            "telephone_number": "985-626-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W CAUSEWAY APPROACH",
            "address_2": "SUITE 3",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713033",
            "telephone_number": "985-626-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER WENDALL WHITNEY A PROFESSIONAL OPTOMETRY CORP (APOC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-626-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "810300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1176923",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.