Active NPI
Damon Bryon White, OD
- Vision Therapy Optometrist
- Edmond, OK
National Provider Identifier
1407906852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 2264
- Practice address
- 1300 E 15TH St Ste 170
Edmond, OK 73013-5042 - Phone
- (405) 216-0707
- Fax
- (405) 216-0707
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2264 | OK | Primary |
Addresses
Primary practice location
1300 E 15TH St Ste 170
Edmond, OK 73013-5042
Mailing address
1300 E 15TH St Ste 170
Edmond, OK 73013-5042
Phone (405) 216-0707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 22, 2024 through Jul 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. Stanley Muenzler, M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Oklahoma City, OK
- NPI 1497814628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407906852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E 15TH ST STE 170",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135042",
"telephone_number": "405-216-0707",
"fax_number": "405-216-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E 15TH ST STE 170",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135042",
"telephone_number": "405-216-0707",
"fax_number": "405-216-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DAMON",
"middle_name": "BRYON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OK",
"license": "2264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.