Active NPI
Timothy Bryant White, O.D.
- Optometrist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- SB16TA695
- Practice address
- 2880 Dauphin St
Mobile, AL 36606-2457 - Phone
- (251) 473-1900
- Fax
- (251) 470-8943
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | SB16TA695 | AL | Primary |
Addresses
Primary practice location
2880 Dauphin St
Mobile, AL 36606-2457
Mailing address
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Other practice location 1
601 Providence Park Dr E
Mobile, AL 36695-4617
Phone (251) 650-2020
Other practice location 2
27961 US Highway 98 Ste 110
Daphne, AL 36526-4702
Phone (251) 928-1941
Other practice location 3
578 Stanton Rd
Mobile, AL 36617-2324
Phone (251) 650-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 81.75
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SB16TA695 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Management, Inc. | Optometrist | Current | Accepting new patients |
| Premier Health Management, Inc. | Current | Accepting new patients | |
| Family Vision Center, Inc. | Optometrist | Past | Accepting new patients |
| Jay Lott OD | Optometrist | Past | Accepting new patients |
Locations
1302 US Highway 98
Daphne, AL 36526
Phone (251) 410-9000
2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368
610 Providence Park Dr E
Ste 101
Mobile, AL 36695
Phone (251) 378-3900
3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368
601 Providence Park Dr E
Mobile, AL 36695
Phone (251) 650-2020
610 Providence Park Dr E
Ste 202
Mobile, AL 36695
Phone (251) 635-0919
126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900
Interoperability endpoints
- twhite@pm.gwaydirect.com
Organizations & group practices 4
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.
-
- Optometrist
- Athens, AL
- NPI 1043399744
-
- Optometrist
- Madison, AL
- NPI 1932648037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1487602280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
}
],
"practiceLocations": [
{
"address_1": "601 Providence Park Dr E",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366954617",
"country_code": "US",
"telephone_number": "251-650-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27961 US Highway 98 Ste 110",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "365264702",
"country_code": "US",
"telephone_number": "251-928-1941",
"fax_number": "251-650-1010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "578 Stanton Rd",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366172324",
"country_code": "US",
"telephone_number": "251-650-2020",
"fax_number": "251-650-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "TIMOTHY",
"middle_name": "BRYANT",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "SB16TA695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.