Organization
WHITSON VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E WHITSON MD (OWNER)
(317) 844-5500
Entity
Organization
Contact information
Practice address
1201 HADLEY RD, SUITE 203, MOORESVILLE, IN 46158-1737
(317) 217-3937
(317) 217-3950
Mailing address
901 E 86TH ST, INDIANAPOLIS, IN 46240-1807
(317) 844-5500
(317) 573-4230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002221A
IN
207W00000X
Ophthalmology Physician
Primary
01036301A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000102683
BC/BS GROUP #
IN
05
—
100072590
—
IN
Enumeration date
07/15/2006
Last updated
06/25/2008
Update your record
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