Organization Active NPI

Gentle Molding Vision Center

  • Point of Service
  • San Antonio, TX
National Provider Identifier
1043434889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
04599TG Issued in TX
Legal business name
GENTLE MOLDING VISION CENTER
Practice address
19272 Stone Oak Pkwy Ste 106
San Antonio, TX 78258-3372
Phone
(210) 481-7100
Fax
(210) 481-7101
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary A. White, OD, FOAA
Title
Certified Theurapeudic Optometrist
Phone
(210) 481-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 04599TG TX Primary

Addresses

Primary practice location

19272 Stone Oak Pkwy Ste 106
San Antonio, TX 78258-3372

Mailing address

19272 Stone Oak Pkwy Ste 106
San Antonio, TX 78258-3372
Phone (210) 481-7100

Other names 1

  • Dr. Gary A. White, Optometrist PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Gary a White Optometrist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19272 Stone Oak Pkwy
Ste 106
San Antonio, TX 78258
Phone (210) 481-7100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043434889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583372",
            "telephone_number": "210-481-7100",
            "fax_number": "210-481-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583372",
            "telephone_number": "210-481-7100",
            "fax_number": "210-481-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE MOLDING VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CERTIFIED THEURAPEUDIC OPTOMETRIST",
        "authorized_official_telephone_number": "210-481-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, FOAA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "04599TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gary A. White, Optometrist PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.