Whitney, Oliver Wendell

Whitney, Oliver Wendell is an sole proprietor health care provider with primary practice located at 1580 W Causeway Approach Ste 3, Mandeville LA 70471-3033. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whitney, Oliver Wendell can be contacted via phone (985) 626-5242.

Contact Information

Primary practice address
1580 W Causeway Approach Ste 3 Mandeville LA 70471-3033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 810300T Louisiana

Profile Details

NPI number 1912903162
LBN Legal business name Whitney, Oliver Wendell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Dec 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912903162 NPPES
Louisiana MEDICAID 1176923

Popular Providers