| Doctor Name: | DR. WILLIAM DALE WHITTED |
| NPI Number: | 1013096122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 5969T |
| Business Practice Address: | 1036 W Robinhood Dr Suite 105 Stockton, CA - 952075623 |
| Business Phone Number: | 2099513693 |
| Business Fax Number: | 2099514711 |
| Mailing Address: | 1036 W Robinhood Dr, Suite 105 STOCKTON |
| State: | CA |
| Postal Code: | 952075623 |
| Phone Number: | 2099513693 |
| Fax Number: | 2099514711 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 08/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | 5969T |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |