DR. ROY WHITAKER (NPI# 1285638866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285638866 |
| Entity Type | Individual |
| Full Name | DR. ROY WHITAKER |
| Credential | MD |
| Practice Address |
3312 Battleground Ave Greensboro NC 27410-2402 |
| Mailing Address |
Po Box 38157 Greensboro NC 27438-8157 |
| Practice Telephone | 3362825000 |
| Practice Fax Number | 3364823778 |
| Mailing Telephone | 3362825000 |
| Mailing Fax Number | 3364823778 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 26482 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS PROVIDER # | 277270 | 01 |
| NC | OPTICARE PROVIDER # | 24168 | 01 |
| NC | MAMSI | 256849 | 01 |
| NC | AETNA PROVIDER # | 4671676 | 01 |
| NC | 89112204 | 05 | |
| NC | RR MEDICARE PROVIDER # | 180045160 | 01 |
| NC | PARTNERS PROVIDER # | 34363 | 01 |
| VA | VA MEDICAID PROVIDER # | 010000530 | 01 |
| NC | BCBS PROVIDER # | 12204 | 01 |
| NC | TAX IDENTIFICATION # | 561783008 | 01 |
| NC | MEDCOST | B8181 | 01 |
| Street Address |
3312 BATTLEGROUND AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596809 | Charles Richard Epes | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2402 | 2005-05-23 |
| 1508256074 | Ashley Wahlfeldt Timmons | Nurse Practitioner | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2015-02-04 |
| 1063800555 | Carolina Eye Associates, Inc. | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2015-01-06 |
| 1861808099 | American Eye Institute, Pllc | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2014-07-09 |
| 1063771616 | Southeastern Cataract Laser Center | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2012-05-16 |
| 1063770758 | Andrew Julian Mincey | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2012-05-01 |
| 1316203151 | Christopher Tulip Shah | Ophthalmology | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2012-04-05 |
| 1396011003 | Laser Defined Vision | Ophthalmology | 3312 Battleground Ave, Suite 102, Greensboro, NC 27410-2548 | 2012-03-27 |
| 1922219617 | Kenneth Neil Mcmackin | Optometrist | 3312 Battleground Ave, Greensboro, NC 27410-2548 | 2007-05-24 |
| 1154535458 | Tlc The Laser Center (carolina) Inc. | Clinic/Center | 3312 Battleground Ave, Ste. 102, Greensboro, NC 27410-2548 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1497011274 | Richard Scott Groat | Ophthalmology | 1317 N Elm St Ste 4, Greensboro, NC 27401-1023 | 2012-04-06 |
| 1225304553 | Brian Gruezo Zamora | Ophthalmology | 1313 Carolina St Ste 103, Greensboro, NC 27401 | 2012-03-30 |
| 1548559404 | Nathan Ronald Haines | Ophthalmology | 1132 N Church St Ste 103, Greensboro, NC 27401-1040 | 2011-03-31 |
| 1821239971 | Pediatric Ophthalmology Associates, P.a. | Ophthalmology | 2519 Oakcrest Ave, Greensboro, NC 27408-4707 | 2009-03-19 |
| 1508062399 | Graham Warner Lyles | Ophthalmology | 8 North Pointe Court, Greensboro, NC 27408-3187 | 2007-06-27 |
| 1427172246 | Karl Gene Stonecipher | Ophthalmology | 1002 N Church St Ste 103, Greensboro, NC 27401-1447 | 2007-03-19 |
| 1447319454 | Hecker Ophthalmology Pa | Ophthalmology | 1507 Westover Ter Ste C, Greensboro, NC 27408-7121 | 2006-12-06 |
| 1225139249 | Wake Forest University Health Sciences | Ophthalmology | 1014 N Elm St, Greensboro, NC 27401-1424 | 2006-09-25 |
| 1932128055 | Sigmund Stanley Gould | Ophthalmology | 405 Parkway, Ste B, Greensboro, NC 27401 | 2006-07-19 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.