Active NPI
Geoffrey Andrew White, O.D.
- Optometrist
- Cambridge, MA
National Provider Identifier
1396834214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3984
- Practice address
- 3 Central SQ
Cambridge, MA 02139-3310 - Phone
- (617) 497-2015
- Fax
- (617) 497-2025
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3984 | MA | Primary |
Addresses
Primary practice location
3 Central SQ
Cambridge, MA 02139-3310
Mailing address
3 Central SQ
Cambridge, MA 02139-3310
Phone (617) 497-2015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369799 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3984 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geoffrey a White & Assoc. Inc. | Optometrist | Current | Accepting new patients |
| Geoffrey a. White & Assoc. Inc. | Optometrist | Current | Accepting new patients |
Locations
3 Central Sq
Cambridge, MA 02139
Phone (617) 225-2258
Organizations & group practices 2
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.
-
dba Central Square Eye Care
- Optometrist
- Cambridge, MA
- NPI 1114111341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396834214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CENTRAL SQ",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393310",
"telephone_number": "617-497-2015",
"fax_number": "617-497-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CENTRAL SQ",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393310",
"telephone_number": "617-497-2015",
"fax_number": "617-497-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "GEOFFREY",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369799",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.