Individual provider Active NPI

George Edward White III, OD

  • Optometrist
  • Harleysville, PA
National Provider Identifier
1265466379
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0EG001408 Issued in PA
Practice address
426 Main Street
Harleysville, PA 19438
Phone
(215) 256-6735
Fax
(215) 256-9931
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0EG001408 PA Primary

Addresses

Primary practice location

426 Main Street
Harleysville, PA 19438

Mailing address

426 Main Street
Harleysville, PA 19438
Phone (215) 256-6735

Other identifiers 2

IdentifierTypeStateIssuer
0048822000OtherKEYSTONE HEALTH PLAN EAST
037493OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120214000540 PA Practitioner - Optometry 6406020460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Path Vision of Pottstown LLCGroup PAC ID 3779973391, 3 clinicians

Practice addresses (Care Compare)

1100 Heritage Dr
Sanatoga, PA 19464-9216
Phone (610) 326-2754

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0EG001408PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Path Vision of Pottstown LLC Optometrist CurrentSince May 1, 2024 Accepting new patients

Locations

1100 Heritage Dr
Sanatoga, PA 19464
Phone (610) 326-2754

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1265466379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MAIN STREET",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "19438",
            "telephone_number": "215-256-6735",
            "fax_number": "215-256-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MAIN STREET",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "19438",
            "telephone_number": "215-256-6735",
            "fax_number": "215-256-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GEORGE",
        "middle_name": "EDWARD",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG001408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0048822000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "037493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.