Individual provider Active NPI

Deborah Elizabeth White, LICENSED OPTICAIN

  • Optician
  • Winchester, VA
National Provider Identifier
1447440672
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
002510 Issued in VA
Practice address
2017 S Loudoun St
Winchester, VA 22601-3612
Phone
(540) 665-0255
Fax
(540) 665-0257
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 002510 VA Primary

Addresses

Primary practice location

2017 S Loudoun St
Winchester, VA 22601-3612

Mailing address

2017 S Loudoun St
Winchester, VA 22601-3612
Phone (540) 665-0255

Other identifiers 3

IdentifierTypeStateIssuer
6739OtherVADAVIS VISION
287005OtherVAANTHEM
VA 2510OtherVAEYEMED

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002510VAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1447440672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S LOUDOUN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013612",
            "telephone_number": "540-665-0255",
            "fax_number": "540-665-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S LOUDOUN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013612",
            "telephone_number": "540-665-0255",
            "fax_number": "540-665-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEBORAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICENSED OPTICAIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "002510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "6739",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "287005",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "VA 2510",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.