Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bethany J Whitesell, MD

Individual provider Optometrist · NPI 1861486946

Dr. Bethany J Whitesell, MD is an Optometry in Springfield, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2004, 22 years ago. Practices with Missouri Eye Institute LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1531 E Bradford Pkwy Ste 100
Springfield, MO 65804
Phone: (417) 887-3900
Fax: (417) 283-2894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2004016781 (MO)

Record details

NPI number1861486946
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Missouri Eye Institute Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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