Individual provider Active NPI

Michelle L. White, M.D.

  • Ophthalmology Physician
  • Waterbury, CT
National Provider Identifier
1265690598
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
69206 Issued in CT
Practice address
87 Grandview Ave
Waterbury, CT 06708-2514
Phone
(203) 574-2020
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 31926 NE
Ophthalmology Physician 207W00000X 69206 CT Primary

Addresses

Primary practice location

87 Grandview Ave
Waterbury, CT 06708-2514

Mailing address

87 Grandview Ave
Waterbury, CT 06708-2514
Phone (203) 574-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816001690 CT Practitioner - Ophthalmology 6002161791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

87 Grandview Ave
Suite B
Waterbury, CT 06708-2514
Phone (203) 574-2020

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Oct 28, 2021 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Oct 28, 2021 Accepting new patients
Sutton Skin and Eye Clinic PC PastSince Jul 24, 2022 Accepting new patients

Locations

47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020

415 Highland Ave
Cheshire, CT 06410
Phone (203) 272-5494

87 Grandview Ave
Waterbury, CT 06708
Phone (203) 465-1353

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

Interoperability endpoints

  • Direct secure messaging: mwhite@refocus.intellechartdirect.net

Organizations & group practices 3

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1265690598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082514",
            "telephone_number": "203-574-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082514",
            "telephone_number": "203-574-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NE",
            "license": "31926",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "69206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.