Stephanie Mary White, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1269-423T Issued in LA

Practice address

5110 Jefferson Hwy
Vision Center
Harahan, LA 70123-5302

Phone

(504) 818-1463

NPI assigned

Nov 8, 2006

Sex

Female

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 LA

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Clinic LLCGroup PAC ID 1850354713, 2 clinicians

Practice addresses (Care Compare)

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.

• Vision Clinic LLC

  • Optometrist
  • Oakdale, LA
  • NPI 1568651222
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1407925845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 RUE LANDRY",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700873666",
            "telephone_number": "504-710-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 JEFFERSON HWY",
            "address_2": "VISION CENTER",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235302",
            "telephone_number": "504-818-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANIE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1269-423T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2497782",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Y. Washington, LMSW
• Jennifer Madelyn Weber
• Dorothy Weins
• Jennifer Seemann Wellborn, LCSW
• Ryan White
• Dana Jean Williams-Sanders
• Cyndee Williams, LMSW
• Sarah Williams, CCC-SLP
• Elizabeth Winkler-Schmit, FAAOMPT
• Zengying Wu, MD

• Optometrist in Harahan, LA
• Providers in Harahan, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.