Jeffrey Wade White, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8896T Issued in CA

Practice address

715 N Irwin St
Hanford, CA 93230-3813

Phone

(559) 584-1630

Fax

(559) 584-1757

NPI assigned

Nov 7, 2006

Last updated

May 14, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Jeffrey W. White Optometric Corporation

  • Clinic/Center
  • Hanford, CA
  • NPI 1184861163
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1104995570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303813",
            "telephone_number": "559-584-1630",
            "fax_number": "559-584-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303813",
            "telephone_number": "559-584-1630",
            "fax_number": "559-584-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEFFREY",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8896T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0088960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Dental Services, Inc.
• Western Health Resources (Adventist Health Home Care Services)
• Western Health Resources (Adventist Health Home Care Services)
• Christina Wheeler, RDN
• Arieh Raymond Whisenhunt, MD
• Jonathan White
• Leah Elizabeth Whitworth
• Brian E Wickert, D.C.
• Asela Wickremasinghe, M.D.
• Wiley M Elick DDS Inc

• Optometrist in Hanford, CA
• Providers in Hanford, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.