Paul Keith White, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002238 Issued in GA

Practice address

135 Willow LN
McDonough, GA 30253-6574

Phone

(678) 432-3093

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Paul White LLC

  • Optometrist
  • McDonough, GA
  • NPI 1174376115
  Medicare reassignment NPD Authorized official
• Sangha Optical Inc.

  • Prosthetic/Orthotic Supplier
  • South Richmond Hill, NY
  • NPI 1235331307
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1104920784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CHAUCER WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817919",
            "telephone_number": "770-558-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WILLOW LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536574",
            "telephone_number": "678-432-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656803",
            "country_code": "US",
            "telephone_number": "770-502-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PAUL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weststaffing Services LLC
• Maurice Antonio Whalen, PT, DPT
• Chelsea Renee Wheeler, MS, CCC-SLP
• Caarne L White
• Keesha White, DPT
• Mark Whitmer, PA-C
• Beth Barron Whitmire, MED, CCC, SLP
• Whole Community Care Solutions, LLC
• Monica Heidi Wichner, DO
• Lorena Noel Wiggins

• Optometrist in McDonough, GA
• Providers in McDonough, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.