Healthcare Provider Details

I. General information

NPI: 1568493005
Provider Name (Legal Business Name): WHITSON VISION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 GREEN ST FL 2
BROWNSBURG IN
46112-1471
US

IV. Provider business mailing address

901 E 86TH ST
INDIANAPOLIS IN
46240-1807
US

V. Phone/Fax

Practice location:
  • Phone: 317-844-5500
  • Fax:
Mailing address:
  • Phone: 317-844-5500
  • Fax: 317-573-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18002221A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number01036301A
License Number StateIN

VIII. Authorized Official

Name: WILLIAM E WHITSON
Title or Position: OWNER
Credential: MD
Phone: 317-844-5500