DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN A. WHITELEATHER, OD

Active Sole Proprietor

DR. KEVIN A. WHITELEATHER, OD is a Optometrist healthcare provider located in FORT WAYNE, Indiana. NPI 1497758395 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT WAYNE, IN

Registration Details

NPI Number
1497758395
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (21.044632074965 yrs)
Last Updated
Oct 26, 2007
Licenses
18003140A (IN)
18003140A (IN)
18003140A (IN)
Sole Proprietor
Yes

Practice Information

Address
4201 LAHMEYER RD
FORT WAYNE, IN, 468155676
Browse IN providers · Browse ZIP 46815
Phone
2604866106
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in FORT WAYNE, IN

Name Credential NPI
DAWN D. FREDERICKSON O.D. 1760489009
DR. JAMES ERVIN BLUME O.D. 1831197276
DR. MONA RUTH DEWART O.D. 1306844501
DR. MARTIN R. WHITE O.D. 1003816943
DR. KURT W. DOUGHERTY OD 1295727519
DR. BRADLEY S BASHAM O.D. 1477547628
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.