# DR. DICK WHITAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235212457
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1060-169T | LA | — |
| 152W00000X | Optometrist | 564 | MS | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 09/29/2026

## 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 | — |