Vincent W. White OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VINCENT W. WHITE OD, INC.

Practice address

15230 Burbank Blvd
# 109
Sherman Oaks, CA 91411-3534

Phone

(818) 779-0152

Fax

(818) 779-0854

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vincent William White, OD

Title

Owner

Phone

(818) 779-0152

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1457501231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 BURBANK BLVD",
            "address_2": "# 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113534",
            "telephone_number": "818-779-0152",
            "fax_number": "818-779-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 BURBANK BLVD",
            "address_2": "# 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113534",
            "telephone_number": "818-779-0152",
            "fax_number": "818-779-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT W. WHITE OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-779-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245259761",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0053460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Villanueva, NP
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• Flavia G Villela
• Christian Michelle Vincent, PHD
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• Optometrist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.