John Mike White, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2770TG Issued in TX

Practice address

4088 E Interstate 20 Service Rd S
Willow Park, TX 76087-3647

Phone

(817) 594-9191

Fax

(817) 594-9190

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Ma Shurtz OD & Associates PLLC

  • Optometrist
  • Willow Park, TX
  • NPI 1255983169
  NPD
• Eye Consultants of Texas PA

  • Ophthalmology Physician
  • Grapevine, TX
  • NPI 1265588461
  NPD (past)
• Tom Annunziato, O.D., P.C.

  • Optometrist
  • Weatherford, TX
  • NPI 1639348444
  NPD (past)
• Tyler L Schremmer OD PA

  • Optometrist
  • Hoisington, KS
  • NPI 1740203025

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1457388597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 E. IH 20 SERVICE RD.",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "76087",
            "telephone_number": "817-596-0646",
            "fax_number": "817-594-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 E INTERSTATE 20 SERVICE RD S",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873647",
            "telephone_number": "817-594-9191",
            "fax_number": "817-594-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOHN",
        "middle_name": "MIKE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2770TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0098FC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7462322",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80896Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD",
            "identifier": "P0064159",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GRP",
            "identifier": "DA5868",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Waldrop, PA
• Walgreen Co.
• Michaela Walker, MSN, RN
• Alyssa Walton
• Syntha Jane West, PH.D.
• Rachelle White, RBT
• Sydney Katherine White, BCBA
• Jessica Marie Wight, FNP-C
• Hannah Wilke, DC
• Tina Ann Wilkinson Moore, PA

• Corneal and Contact Management Optometrist in Willow Park, TX
• Providers in Willow Park, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.