Active NPI
John C Whiting, OD
- Optometrist
- Holden, MA
National Provider Identifier
1982686341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3146
- Practice address
- 64 Boyden Rd
Holden, MA 01520-2570 - Phone
- (508) 856-9599
- Fax
- (508) 829-4988
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3146 | MA | Primary |
Addresses
Primary practice location
64 Boyden Rd
Holden, MA 01520-2570
Mailing address
5 Neponset St FL Street12
Worcester, MA 01606-2714
Phone (978) 345-7398
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4652997 | Other | AETNA US HEALTHCARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 47244 | Other | CHILDRENS MEDICAL SECURIT | |
| W16043 | Other | BLUE CARE ELECT | |
| 35481159 | Other | CIGNA HEALTHSOURCE | |
| 60890 | Other | FALLON COMMUNITY HEALTH P | |
| 785969 | Other | MVP HEALTH CARE | |
| 042472266 | Other | THREE RIVERS | |
| 2213200 | Other | FIRST HEALTH | |
| AA2170 | Other | HARVARD PILGRIM HEALTHCAR | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 6037084002 | Other | CIGNA PAL ID | |
| W16043 | Other | BLUE SHIELD HMO BLUE | |
| 0334910 | Medicaid | MA | |
| B291197401 | Other | CIGNA HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | 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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1982686341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST FL STREET12",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "978-345-7398",
"fax_number": "978-353-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 BOYDEN RD",
"city": "HOLDEN",
"state": "MA",
"postal_code": "015202570",
"telephone_number": "508-856-9599",
"fax_number": "508-829-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "JOHN",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4652997",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "47244",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "W16043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHSOURCE",
"identifier": "35481159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "60890",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "785969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2213200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA2170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL ID",
"identifier": "6037084002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "W16043",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334910",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "B291197401",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Holden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.