Individual provider Active NPI

Whitney Leigh Gaskin, O.D.

  • Optometrist
  • Bowling Green, KY
National Provider Identifier
1962607267
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1703DT Issued in KY
Practice address
3200 Ken Bale Blvd
Bowling Green, KY 42103-6025
Phone
(270) 745-0038
Fax
(270) 745-0038
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1703DT KY Primary

Addresses

Primary practice location

3200 Ken Bale Blvd
Bowling Green, KY 42103-6025

Mailing address

3200 Ken Bale Blvd
Bowling Green, KY 42103-6025
Phone (270) 745-0038

Other identifiers 1

IdentifierTypeStateIssuer
7100010550MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002586 KY Order and Referring Only - OptometryPractitioner - Optometry 2567557242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1703DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sasha Radford, LLC Optometrist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1962607267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 KEN BALE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036025",
            "telephone_number": "270-745-0038",
            "fax_number": "270-745-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KEN BALE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036025",
            "telephone_number": "270-745-0038",
            "fax_number": "270-745-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "WHITNEY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1703DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.