MEDICARE: WHITSON VISION, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	18002221A	IN
2	207W00000X	Ophthalmology Physician	01036301A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000102683	OTHER	IN	BC/BS GROUP #

General Provider Information

NPI Number	:	1568493005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITSON VISION, PC

Provider Business Mailing Address
First Line	:	901 E 86TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1807
Country	:	US
Telephone Number	:	317-844-5500
Fax Number	:	317-573-4230

Provider Business Practice Location Address
First Line	:	5724 GREEN ST FL 2
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-1471
Country	:	US
Telephone Number	:	317-844-5500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM E WHITSON
Credential	:	MD
Telephone Number	:	317-844-5500

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/18/2026

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Directions to “WHITSON VISION, PC ” Practice Location

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