Individual provider Active NPI

Ryan Earle White, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1326663071
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002870 Issued in AZ
Practice address
9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527
Phone
(480) 947-4493
Fax
(480) 947-4571
NPI assigned
Jun 9, 2020
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3149 CT
Optometrist 152W00000X OPT-002870 AZ Primary

Addresses

Primary practice location

9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527

Mailing address

100 Huyshope Avenue
#311
Hartford, CT 06106
Phone (607) 972-1840

Other practice location 1

1830 S Alma School Rd Ste 102
Mesa, AZ 85210-3086
Phone (480) 947-4493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20200824002556 CT Practitioner - Optometry 9537586466 Reassigns benefits to 1 organization
I20250912001621 AZ Practitioner - Optometry 9537586466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randall K Tozer MD PCGroup PAC ID 4688703168, 6 clinicians

Practice addresses (Care Compare)

9811 N 95TH St
Suite 101
Scottsdale, AZ 85258-4527
Phone (480) 947-4493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3149CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prudhomme Vision LLC Optometrist CurrentSince Jun 4, 2020 Accepting new patients
Randall K Tozer MD PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Randall K Tozer MD PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Dr. Aucello & Associates, P.C. Optometrist PastSince Jun 1, 2020 Accepting new patients

Locations

1830 S Alma School Rd
Ste 102
Mesa, AZ 85210
Phone (480) 947-4493

9811 N 95th St
Ste 101
Scottsdale, AZ 85258
Phone (480) 947-4493

61 Westfarms Mall
Ste D111
Farmington, CT 06032
Phone (860) 561-5687

194 Buckland Hills Dr
Ste 1106
Manchester, CT 06042
Phone (860) 233-2668

401 Evergreen Way
Unit 415
South Windsor, CT 06074
Phone (860) 644-3364

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1326663071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUYSHOPE AVENUE",
            "address_2": "#311",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "607-972-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 N 95TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584527",
            "telephone_number": "480-947-4493",
            "fax_number": "480-947-4571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 S Alma School Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852103086",
            "country_code": "US",
            "telephone_number": "480-947-4493",
            "fax_number": "480-947-4571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RYAN",
        "middle_name": "EARLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3149",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.