Active NPI
Richard Edd White, DO.
- Optician
- Juneau, AK
National Provider Identifier
1285891309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 216
- Practice address
- 8745 Glacier Hwy Ste 426
Juneau, AK 99801-8092 - Phone
- (907) 796-3937
- Fax
- (907) 796-3940
- NPI assigned
- May 16, 2008
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 216 | AK | Primary |
Addresses
Primary practice location
8745 Glacier Hwy Ste 426
Juneau, AK 99801-8092
Mailing address
8745 Glacier Hwy Ste 426
Juneau, AK 99801-8092
Phone (907) 796-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OP7385 | Medicaid | AK |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216 | AK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1285891309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 GLACIER HWY STE 426",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998018092",
"telephone_number": "907-796-3937",
"fax_number": "907-796-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8745 GLACIER HWY STE 426",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998018092",
"telephone_number": "907-796-3937",
"fax_number": "907-796-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "RICHARD",
"middle_name": "EDD",
"name_prefix": "Mr.",
"credential": "DO.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AK",
"license": "216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OP7385",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.