Individual provider Active NPI

Heather White Brandy, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1154570836
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-002135 Issued in PA
Practice address
645 Rodi Rd
Suite 100
Pittsburgh, PA 15235-4564
Phone
(412) 256-2020
Fax
(412) 247-4963
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-002135 PA Primary

Addresses

Primary practice location

645 Rodi Rd
Suite 100
Pittsburgh, PA 15235-4564

Mailing address

1720 El Camino Real
Ste 235
Burlingame, CA 94010-3213
Phone (650) 259-0300

Other names 1

  • Dr. Heather White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-002135PAMDOptometrist
14128CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1154570836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "STE 235",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103213",
            "telephone_number": "650-259-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 RODI RD",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354564",
            "telephone_number": "412-256-2020",
            "fax_number": "412-247-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDY",
        "first_name": "HEATHER",
        "middle_name": "WHITE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-002135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WHITE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.