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Active NPI 1396896155 Individual Practitioner Male Practitioner

Dr. Daniel Lee Whited , OD

Optometrist • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Whited, OD is a certified Optometrist practicing in Maple Grove, MN. With approximately 29 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1997, Dr. Whited delivers high-quality medical care to the local community at 12131 ELM CREEK BLVD N.

Dr. Whited accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12131 Elm Creek Blvd N

Maple Grove, MN 553697093

Telephone 7634161983
Associated Practice Facility / Clinic
🏢 Luxottica Of America Inc. Facility NPI 1457406290

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +10.1 yrs vs City Avg
City Avg: 18.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Maple Grove, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whited (29 Years) 29 Yrs
Maple Grove Specialty Average (18.9 Years) 18.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 24 $70.40 $69.56

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN MN2651

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
833724100 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1205971975

Doctor of Optometry

NPI 1801933627

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2016

Registered at 12131 ELM CREEK BLVD N, MAPLE GROVE, MN 553697093 (Tel: 7634161983)

📍
Updated Business Mailing Address December 02, 2016

Registered at 7114 WHITEHALL RD, SHAKOPEE, MN 553798084 (Tel: 9522333730)

👤
Provider Name / Credentials Updated December 02, 2016

Recorded as DANIEL WHITED, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Optometrist (License #MN2651 in MN)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396896155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: December 02, 2016
Sole Proprietor: Yes

Mailing Address

7114 Whitehall Rd

Shakopee, MN 553798084

Phone: 9522333730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.