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Individual
DR. DICK WHITAKER
Active
Individual
DR. DICK WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1060-169T
LA
152W00000X
Optometrist
Primary
564
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087047
—
MS
01
—
0133910002
MEDICARE PALMETTO
—
05
—
1388734
—
LA
01
—
2302B
BLUE CROSS OF LA
LA
01
—
721149589
UNITED HEALTHCARE
—
Enumeration date
10/23/2006
Last updated
09/29/2026
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