Madison Sue White, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2023021017 Issued in MO

Practice address

1701 W 26TH St Ste E
Joplin, MO 64804-1513

Phone

(417) 952-2366

Fax

(417) 952-2367

NPI assigned

Jun 9, 2023

Last updated

Jun 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gracie Chase Avery LLCGroup PAC ID 7810253663, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gracie Chase Avery, LLC

  dba 4States Vision Express

  • Optometrist
  • Joplin, MO
  • NPI 1003320607

  KS

  Medicare reassignment Care Compare group NPD
• Wimmer P.a.

  • Optometrist
  • Pittsburg, KS
  • NPI 1962517136
  NPD

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1245914456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W 26TH ST STE E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041513",
            "telephone_number": "417-952-2366",
            "fax_number": "417-952-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 26TH ST STE E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041513",
            "telephone_number": "417-952-2366",
            "fax_number": "417-952-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MADISON",
        "middle_name": "SUE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2023021017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica Rae Westmoreland, DC
• Fredric R Wheeler, D.O.
• Kevin Michael Whisman, PSY.D.
• Whispering Pines Senior Living L.L.C.
• Adam J White, PA
• Miranda White, SLP
• Samantha White, PLPC
• Teresa Michelle White, NP
• Gabrielle E Whitehead
• Laurinda A Whitehead

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.