Active NPI
Vincent William White, O.D.
- Optometrist
- Sherman Oaks, CA
National Provider Identifier
1245259761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5346T
- Practice address
- 15230 Burbank Blvd
#109
Sherman Oaks, CA 91411-3534 - Phone
- (818) 779-0152
- Fax
- (818) 779-0854
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5346T | CA | Primary |
Addresses
Primary practice location
15230 Burbank Blvd
#109
Sherman Oaks, CA 91411-3534
Mailing address
15230 Burbank Blvd
#109
Sherman Oaks, CA 91411-3534
Phone (818) 779-0152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0053460 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5346T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1245259761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 BURBANK BLVD",
"address_2": "#109",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914113534",
"telephone_number": "818-779-0152",
"fax_number": "818-779-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 BURBANK BLVD",
"address_2": "#109",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914113534",
"telephone_number": "818-779-0152",
"fax_number": "818-779-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "VINCENT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5346T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0053460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.