Oliver Wendell Whitney, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

810300T Issued in LA

Practice address

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

Phone

(985) 626-5242

NPI assigned

Jun 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292716800000",
    "number": "1912903162",
    "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": "STE 3",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713033",
            "telephone_number": "985-626-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "OLIVER",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "810300T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1176923",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna White
• Michael White, MD
• Morgan Teachworth White, LPC
• Shannon Holly White
• Ashley Nicole Whitney
• Debbie Wild
• Diana Wild
• Casandra East Wiley, RN
• John Wilkins Jr.
• William R. Ledoux D.D.S. a.P.D.C.

• Optometrist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2010; 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.