Port City Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PORT CITY OPTOMETRY, PLLC

Practice address

8035 Market St Ofc
Wilmington, NC 28411-9385

Phone

(910) 200-0635

NPI assigned

Oct 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rasika Whitesell, ODNPI 1750717336

Title

Optometrist

Phone

(910) 200-0635

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Rasika Khatu Whitesell, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1750717336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1821715772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 KELLERTON PL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094261",
            "telephone_number": "910-200-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 MARKET ST OFC",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119385",
            "telephone_number": "910-200-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "WHITESELL",
        "authorized_official_first_name": "RASIKA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "910-200-0635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750717336",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eyedoctor",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8035 Market St Ofc",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284119385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Port City Contracting Service
• Port City Eye Associates, OD, P.a.
• Port City Family and Cosmetic Dentistry
• Port City Medical Associates
• Port City Neurosurgery and Spine, P.C.
• Port City Physical Therapy, Inc.
• Port City Speech, PLLC
• Port City Therapy, PLLC
• Port City Urgent Care PC
• Port Health Services

• Optometrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.