Individual provider Active NPI

Kelsey White, OD

  • Optometrist
  • Springdale, AR
National Provider Identifier
1134610678
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2810 Issued in AR
Practice address
4870 Elm Springs Rd
Springdale, AR 72762-3749
Phone
(479) 235-6685
Fax
(479) 231-1386
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002249 AZ
Optometrist 152W00000X 2810 AR Primary

Addresses

Primary practice location

4870 Elm Springs Rd
Springdale, AR 72762-3749

Mailing address

7326 Charlotte Ave
Springdale, AR 72762-7022
Phone (479) 857-3104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20200903001987 AR Practitioner - Optometry 0840548822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4870 Elm Springs Rd
Springdale, AR 72762-3749
Phone (479) 235-6685

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2810ARMDOptometrist
OPT-002249AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dang Eyecare & Associates, P.a. Optometrist CurrentSince Jan 23, 2021 Accepting new patients
Kelsey White OD PLLC Optometrist CurrentSince Sep 10, 2020 Accepting new patients

Locations

4189 Phoenix Ave
Ste B
Fort Smith, AR 72903
Phone (479) 434-4668

1517 Gene George Blvd
Springdale, AR 72762
Phone (479) 365-7166

4870 Elm Springs Rd
Springdale, AR 72762
Phone (479) 235-6685

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1134610678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 CHARLOTTE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627022",
            "telephone_number": "479-857-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 ELM SPRINGS RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623749",
            "telephone_number": "479-235-6685",
            "fax_number": "479-231-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002249",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.