Jeffrey W. White Optometric Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

COR958 Issued in CA

Legal business name

JEFFREY W. WHITE OPTOMETRIC CORPORATION

Practice address

715 N Irwin St
Hanford, CA 93230-3813

Phone

(559) 584-1630

Fax

(559) 584-1757

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wade White, O.D.NPI 1104995570

Title

Optometrist

Phone

(559) 584-1630

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Wade White, O.D.

  • Optometrist
  • Hanford, CA
  • NPI 1104995570
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1184861163",
    "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": {
        "organization_name": "JEFFREY W. WHITE OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "559-584-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "COR958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184861163",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104995570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James N. Eustermann, M.D., Inc.
• Ingrid James
• Teresa Jaquez, LMFT
• Jason Albano DDS Inc
• Keri Jastrzemski
• Lawrence Jellinek, M.D.
• John Jennings
• Samantha Jeske
• Kassandra Jimenez
• Nicole Jimenez

• Clinic/Center in Hanford, CA
• Providers in Hanford, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.