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CODY WHIDDON INC.
NPI 1811186414
Optometrist in Marshall, TX

Active since October 18, 2007
3905 VICTORY DRIVE, MARSHALL, TX 75672(903) 935-2861(903) 935-1047 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2022, Oct 6, 2022, Sep 29, 2022 and 2 more (5 updates tracked since 2021).

About Cody Whiddon Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY WHIDDON INC. (NPI 1811186414) is a healthcare organization registered as an optometrist in Marshall, Texas and active in the NPI registry since October 2007. The organization lists Cody H Whiddon, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1811186414
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCODY WHIDDON INC.
Location Address3905 VICTORY DRIVEMarshall, TX 75672-4755
Mailing Address3905 Victory DriveMarshall, TX 75672-4755 · (903) 935-2861 · Fax (903) 935-1047
Phone(903) 935-2861
Fax(903) 935-1047
Organization SubpartNo
Authorized OfficialCody H WhiddonDoctor/owner · (903) 935-2861
Enumeration DateOctober 18, 2007
Last NPPES UpdateAugust 25, 20255 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1811186414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
3905 VICTORY DRIVE, Marshall, TX 75672
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Other Names 1

Doing Business AsCody Whiddon Inc.

Other Identifiers 2

Medicaid1588143598TX
Other2E6890TX · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Whiddon Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20080320000567Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cody Whiddon Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Cody Whiddon, OD
Optometry
NPI 1588143598
3905 VICTORY DR
Marshall, TX 75672
(903) 935-2861
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Cody H. Whiddon Inc carries, from the Medicare DMEPOS supplier directory.

Cody H. Whiddon Inc

DMEPOS supplier · Marshall, TXOperated by Cody Whiddon Inc
✔

Accepts Medicare assignment

Cody H. Whiddon Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20558495
Medicare Participant SinceMarch 10, 2008
Supplier Location3905 Victory DrMarshall, TX 75672
Phone(903) 935-2861
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Whiddon Inc.'s NPI number?

The NPI number for Cody Whiddon Inc. is 1811186414. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Cody Whiddon Inc. located?

Cody Whiddon Inc. is located at 3905 Victory Drive, Marshall, TX 75672. The listed phone number is (903) 935-2861.

What is Cody Whiddon Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Cody Whiddon Inc. enrolled in Medicare?

Yes. Cody Whiddon Inc. is registered in the Medicare PECOS enrollment system.

When is Cody Whiddon Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cody Whiddon Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Cody Whiddon Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cody Whiddon Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cody H. Whiddon Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Cody Whiddon Inc. was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.