Provider Demographics
NPI:1184880957
Name:WHITNEY, JOHN FRANCIS (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:F
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3 ALLEN CT
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1105
Mailing Address - Country:US
Mailing Address - Phone:508-380-7688
Mailing Address - Fax:978-937-9281
Practice Address - Street 1:3 ALLEN CT
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1105
Practice Address - Country:US
Practice Address - Phone:508-380-7688
Practice Address - Fax:978-937-9281
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3310152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist