Rodney L White, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP 956 Issued in ID

Practice address

901 12TH Ave S
Nampa, ID 83651-4658

Phone

(208) 466-9251

Fax

(208) 463-1714

NPI assigned

Aug 24, 2005

Last updated

Jan 22, 2013By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in ID

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

Pacific University - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel L Tiller PAGroup PAC ID 3476633801, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Daniel L Tiller PA

  dba Advanced Eyecare

  • Optometrist
  • Nampa, ID
  • NPI 1861485989
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1487647509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 12TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514658",
            "telephone_number": "208-466-9251",
            "fax_number": "208-463-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 12TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514658",
            "telephone_number": "208-466-9251",
            "fax_number": "208-463-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RODNEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP 956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805221700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "V5467",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCY OF ID",
            "identifier": "000010015540",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cresenda White, M.S. CCC-SLP
• David Curtis White, DDS
• Emily White, MOTR/L
• Michael D White, PA-C
• Rebecca White
• Zachary H White, DPT, PT
• Baylie Whiting, PA
• Rebecca Irene Whitmore
• Karen Meliza Whittaker, MS
• Whole Health Chiropractic, PA

• Optometrist in Nampa, ID
• Providers in Nampa, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.