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DR. WILLIAM DALE WHITTED O.D. NPI 1013096122


NPI Information

NPI: 1013096122
Provider Name: DR. WILLIAM DALE WHITTED, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
1036 W ROBINHOOD DR
SUITE 105
STOCKTON, CA
ZIP 95207
Phone: (209) 951-3693
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DR. William Dale Whitted, O.D. is an optometrist in Stockton, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. William Dale Whitted, O.D. NPI is 1013096122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1036 W ROBINHOOD DR
SUITE 105
STOCKTON, CA
ZIP 95207-623
Phone: (209) 951-3693
Fax: (209) 951-4711

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WL0500XOptometristLow Vision Rehabilitation5969TCALIFORNIANo
2152W00000XOptometrist5969TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SD0059690MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2T10185MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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