Individual
DR. JAMES JOSEPH WHITELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601002262
VA
152W00000X
Optometrist
Primary
OE006044T
PA
152W00000X
Optometrist
TA0903
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008924180001
—
PA
01
—
410046909
RAILROAD MEDICARE
—
01
—
WH420385
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/26/2006
Last updated
11/27/2017
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