DR. KEVIN A. WHITELEATHER (OD) – Optometrist, NPI 1497758395

DR. KEVIN A. WHITELEATHER (OD) is a healthcare provider. based in Fort wayne, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18003140A (IN). The NPI Number for DR. KEVIN A. WHITELEATHER (OD) is 1497758395

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN A. WHITELEATHER (OD)
NPI
1497758395
Phone
Not provided
Address
4201 LAHMEYER RD
Enumeration Date
24 May 2005
Last Update Date
26 October 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
8123093838
Professional Enrollment ID
I20040826001320
Address ID
IN468155676Fo4201XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. KEVIN A. WHITELEATHER (OD)

  • 4201, Lahmeyer Road, Fort Wayne, Allen County, Indiana, 46815, United States

    FORT WAYNE, IN 468155676

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040826001320IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system5655$0
99214Established patient office or other outpatient visit, 30-39 minutes5130$0
99213Established patient office or other outpatient visit, 20-29 minutes4939$0
92134Imaging of retina3224$0
99212Established patient office or other outpatient visit, 10-19 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 46815)

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Reviews

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Frequently asked questions

How do I look up DR. KEVIN A. WHITELEATHER (OD) by NPI?
Use NPI 1497758395 when you need to reference DR. KEVIN A. WHITELEATHER (OD) in forms, claims, or directories.
Does this profile mean DR. KEVIN A. WHITELEATHER (OD) is currently active?
Yes — DR. KEVIN A. WHITELEATHER (OD) appears active in the national provider directory.
Does DR. KEVIN A. WHITELEATHER (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. KEVIN A. WHITELEATHER (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KEVIN A. WHITELEATHER (OD)?
The snapshot lists Fort Wayne, Indiana for DR. KEVIN A. WHITELEATHER (OD); download NPPES for the complete set.
Is DR. KEVIN A. WHITELEATHER (OD) a real provider?
This page reflects official NPPES data for NPI 1497758395. Always confirm identity and privileges with the practice and licensing boards.

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