Gary C White, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6140T Issued in CA

Practice address

2340 Sunrise Blvd
Suite 17
Rancho Cordova, CA 95670-4368

Phone

(916) 635-3043

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gary C White Optometric Corporation

  • Optometrist
  • Orangevale, CA
  • NPI 1558665745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1336201680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SUNRISE BLVD",
            "address_2": "SUITE 17",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704368",
            "telephone_number": "916-635-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SUNRISE BLVD",
            "address_2": "SUITE 17",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704368",
            "telephone_number": "916-635-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6140T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0061400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Raymond Weadon
• Scott J Weathers
• Jennifer Lynn Wellenstein
• Western Dental Services, Inc.
• Hanna Whisler
• Susan White, RN
• Virginia Ellen White, PHARM.D.
• Russell Tolman Wilcox, CRNA
• Chrystal Fae Wilhight, BCBA
• Aimee Williams, LVN

• Optometrist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.