Provider Demographics
NPI:1093398935
Name:DRIVER, WHITNEY KAY (OD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:KAY
Last Name:DRIVER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 S OAK ST
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-9546
Mailing Address - Country:US
Mailing Address - Phone:641-648-3306
Mailing Address - Fax:641-648-2075
Practice Address - Street 1:713 S OAK ST
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-9546
Practice Address - Country:US
Practice Address - Phone:641-648-3306
Practice Address - Fax:641-648-2075
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA108834152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist