KIRK C WHITTLESEY (NPI# 1407840754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407840754 |
| Entity Type | Individual |
| Full Name | KIRK C WHITTLESEY |
| Practice Address |
12 Taft St S Humboldt IA 50548-2037 |
| Mailing Address |
P O Box 648 12 Taft St S Humboldt IA 50548-2037 |
| Practice Telephone | 5153322950 |
| Practice Fax Number | 5153324451 |
| Mailing Telephone | 5153322950 |
| Mailing Fax Number | 5153324451 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1581 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0226282 | 05 | |
| RR MEDICARE | 410012199 | 01 | |
| IA | BCBS | 2262820 | 01 |
| ALL OTHER HEALTH CARE | 1581 | 01 |
| Street Address |
12 TAFT ST S |
| City | HUMBOLDT |
| State | IA |
| Zip Code | 50548-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750550653 | Kirk C Whittlesey | Durable Medical Equipment & Medical Supplies | 12 Taft St S, Humboldt, IA 50548-2037 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823969 | Shanna Renae Studer | Optometrist | 10 Taft St. S, Humboldt, IA 50548 | 2018-05-30 |
| 1093028045 | Cody Gene Olson | Dentist | 1101 13th St. N, Suite 1, North Park Family Dentistry, Humboldt, IA 50548 | 2010-07-20 |
| 1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
| 1366654543 | 1st Avenue Chiropractic, P.C. | Clinic/Center | 611 1 St Ave Chiropractic, Humboldt, IA 50548 | 2007-05-03 |
| 1346272705 | Harvey Evans PC | Dentist | 1014 15th St N, Humboldt, IA 50548 | 2006-07-07 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
| 1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
| 1629069786 | David Ruzicka | Emergency Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-10-28 |
| Find all providers in zip 50548 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823969 | Shanna Renae Studer | Optometrist | 10 Taft St. S, Humboldt, IA 50548 | 2018-05-30 |
| 1356724272 | Bryan Kent Larson | Optometrist | 10 Taft St S, Humboldt, IA 50548-2037 | 2015-07-09 |
| 1255431383 | Robert Newton Smith | Optometrist | 624 Bridge St, Humboldt, KS 66748-1733 | 2006-09-25 |
| 1609820190 | David Michael Orwig | Optometrist | 2439 N Central Ave, Humboldt, TN 38343-1753 | 2006-05-20 |
| 1477020923 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 2439 N Central Ave, Humboldt, TN 38343-1753 | 2018-11-01 |
| 1548631732 | Indianhead Investments, LLC | Optometrist | 10 Taft St S, Humboldt, IA 50548-2037 | 2015-10-13 |
| 1679886873 | Bethany Mayo Bearden | Optometrist | 2716 N Central Ave, Humboldt, TN 38343-1560 | 2010-07-16 |
| 1982832838 | Dustin Kyle Utley | Optometrist | 2118 E Main St, Humboldt, TN 38343-3054 | 2009-06-30 |
| 1386821981 | Professional Eyecare Associates and Optical Pllc | Optometrist | 2118 E Main St, Humboldt, TN 38343-3054 | 2008-01-25 |
| 1942494497 | Heather Ann Hope | Optometrist | 2118 E Main St, Humboldt, TN 38343-3054 | 2007-08-28 |
| Find all providers in HUMBOLDT | ||||
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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.