NPIMap

Organization Active NPI

Whitewater Eye Centers LLC

Doing business as Whitewater Eye Center Richmond

  • Ophthalmology Physician
  • Richmond, IN
National Provider Identifier
1962635052
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WHITEWATER EYE CENTERS LLC
Doing business as
Whitewater Eye Center Richmond
Practice address
1900 Chester Blvd
Richmond, IN 47374-1213
Phone
(765) 962-2020
Fax
(765) 966-2975
NPI assigned
Aug 24, 2009
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Dr. Kevin T Scripture, MDNPI 1700869179
Title
Part Owner/Officer
Phone
(765) 962-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1900 Chester Blvd
Richmond, IN 47374-1213

Mailing address

PO Box 399
Richmond, IN 47375-0399
Phone (765) 962-2020

Other identifiers 2

IdentifierTypeStateIssuer
200962480CMedicaidIN
3020671MedicaidOH

Other names 1

  • Whitewater Eye Center Richmond Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000461 IN Part B Supplier - Clinic/Group Practice 6608914072 Receives reassigned benefits from 14 practitioners
6 other NPIs on this enrollment
Practice locations: Batesville, IN; Connersville, IN; Greenfield, IN; Greensburg, IN; Richmond, IN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2017634Whitewater Eye Centers1900 Chester Blvd, Richmond, IN 47374Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Whitewater Eye Centers LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1451 Jason Rd
Greenfield, IN 46140
Phone (317) 462-6601

Interoperability endpoints

  • Direct secure messaging: bhainline@whitewater.intellechartdirect.net
  • Direct secure messaging: bniehoff@whitewater.intellechartdirect.net
  • Direct secure messaging: ebeatty@whitewater.intellechartdirect.net
  • Direct secure messaging: ejennings@whitewater.intellechartdirect.net
  • Direct secure messaging: escripture@whitewater.intellechartdirect.net
  • Direct secure messaging: hlee@whitewater.intellechartdirect.net
  • Direct secure messaging: jmoriarity@whitewater.intellechartdirect.net
  • Direct secure messaging: jrisch@whitewater.intellechartdirect.net
  • Direct secure messaging: kgracia@whitewater.intellechartdirect.net
  • Direct secure messaging: kscripture@whitewater.intellechartdirect.net
  • Direct secure messaging: mbloom@whitewater.intellechartdirect.net
  • Direct secure messaging: mscripture@whitewater.intellechartdirect.net
  • Direct secure messaging: tbeatty@whitewater.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1962635052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473750399",
            "telephone_number": "765-962-2020",
            "fax_number": "765-966-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741213",
            "telephone_number": "765-962-2020",
            "fax_number": "765-966-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER EYE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "SCRIPTURE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PART OWNER/OFFICER",
        "authorized_official_telephone_number": "765-962-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962480C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitewater Eye Center Richmond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitewater Eye Center Richmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.