Whittaker and Tang, P.a.
Organization Active NPI Optometrist · Sabetha, KS
NPI 1851461628 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1851461628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1701 (KS)
- Legal business name
- WHITTAKER AND TANG, P.A.
- Practice address
- 1002 Main St
Sabetha, KS 66534-1831 - Phone
- (785) 284-2139
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Douglas James Whittaker, O.D.
- Title
- President
- Phone
- (785) 284-2139
Practitioners 3
-
Douglas Whittaker, O.D.
-
James A Whittaker, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000478 | KS | Part B Supplier - Clinic/Group Practice | 2769482033 |
Receives reassigned benefits from 2 practitioners Practice locations: Sabetha, KS; Seneca, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5793TG | TX | |
| Optometrist |
152W00000X | 5788T | TX | |
| Optometrist |
152W00000X | 1700 | KS | |
| Optometrist |
152W00000X | 1701 | KS | Yes |
| Optometrist |
152W00000X | 1176-3 | KS |
Addresses
Primary practice location
1002 Main St
Sabetha, KS 66534-1831
Mailing address
1002 Main St
Sabetha, KS 66534-1831
Phone (785) 284-2139
Other names
- Whittaker Eye Associates
Other providers in Sabetha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.