Individual provider Active NPI

Cheryl Gilchrist Whitlow, O.D.

  • Optometrist
  • Edmonton, KY
National Provider Identifier
1992701635
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1229DT Issued in KY
Practice address
1406 W Stockton St
Edmonton, KY 42129-8125
Phone
(270) 432-0123
Fax
(270) 432-5899
NPI assigned
Jun 27, 2005
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1229DT KY Primary

Addresses

Primary practice location

1406 W Stockton St
Edmonton, KY 42129-8125

Mailing address

1406 W Stockton St
Edmonton, KY 42129-8125
Phone (270) 432-0123

Other identifiers 1

IdentifierTypeStateIssuer
77012298MedicaidKY

Other names 1

  • Dr. Cheryl Christine Gilchrist Former name

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
I20040901000095 KY Practitioner - Optometry 7719952878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmonton Family Vision Center PSCGroup PAC ID 0042285108, 3 clinicians

Practice addresses (Care Compare)

1406 W Stockton St
Edmonton, KY 42129-8125
Phone (270) 432-0123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edmonton Family Vision Center PSC Optometrist CurrentSince Jun 1, 1992 Accepting new patients

Locations

1406 W Stockton St
Edmonton, KY 42129
Phone (270) 432-0123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1992701635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421298125",
            "telephone_number": "270-432-0123",
            "fax_number": "270-432-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421298125",
            "telephone_number": "270-432-0123",
            "fax_number": "270-432-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "CHERYL",
        "middle_name": "GILCHRIST",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1229DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012298",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "GILCHRIST",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmonton, KY

Sources for this page

Verify at the official NPI Registry.