Thomas Marshall White, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

290 Issued in NM

Practice address

1606 SE Main St
Roswell, NM 88203-5411

Phone

(575) 624-0370

Fax

(575) 624-0376

NPI assigned

Sep 20, 2006

Last updated

Dec 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1265530075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE",
            "address_2": "SUITE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131533",
            "telephone_number": "505-828-4923",
            "fax_number": "505-213-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 SE MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035411",
            "telephone_number": "575-624-0370",
            "fax_number": "575-624-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "THOMAS",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1166-3",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13938274",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Michelle West, ACNP DNP
• Karen Whalen
• Wheelchair and Walker Rentals, Inc.
• White Mattress Co.
• Samantha Kaye White, CNP
• Yvette Theola White, MS., OTR L
• Robert Wayne Whited, DC
• Raelene Whitehead
• Barbara L. Whitlock, M.E.D.
• Brian Keith Whitlock, PH.D.

• Optometrist in Roswell, NM
• Providers in Roswell, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.