Dennis Lee White, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02817 Issued in MO

Practice address

1100 W Scenic Rivers Blvd
Suite a
Salem, MO 65560-2811

Phone

(573) 729-4300

Fax

(573) 729-4359

NPI assigned

Apr 6, 2006

Last updated

May 6, 2015By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in MO

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 Missouri St Louis - School of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heffington Optical Company IncGroup PAC ID 3577682160, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heffington Optical Company Inc

  dba OptiLand

  • Optician
  • Springfield, MO
  • NPI 1912052176

  Optometrist

  Medicare reassignment Care Compare group NPD
• Heffington's House of Vision Inc

  • Optometrist
  • Springfield, MO
  • NPI 1861527251
  Medicare reassignment NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1487616124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W SCENIC RIVERS BLVD",
            "address_2": "SUITE A",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655602811",
            "telephone_number": "573-729-4300",
            "fax_number": "573-729-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SCENIC RIVERS BLVD",
            "address_2": "SUITE A",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655602811",
            "telephone_number": "573-729-4300",
            "fax_number": "573-729-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "109138",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312683105",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Leon Wainwright, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0027)
• Wal-Mart Stores East, LP (Vision Center 30-0027)
• Steven Michael Watson, DMD
• Emily A West, RN
• Carrie Lynn Wilber, M.S.,CCC-SLP
• Jamie Johnston Wilson, PTA
• Wisdom Counseling and Consultation
• Wisdom Therapy LLC (Stepping Stones Counseling Center)
• Teel Ryan Wisdom, PHARMD

• Optometrist in Salem, MO
• Providers in Salem, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.