Active NPI
Sue Irene White, CERTIFIED OPTICIAN
- Optician
- Springfield, IL
National Provider Identifier
1598083941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 2351 W Monroe St
Springfield, IL 62704-1452 - Phone
- (217) 787-8700
- Fax
- (217) 787-8707
- NPI assigned
- May 10, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2351 W Monroe St
Springfield, IL 62704-1452
Mailing address
2351 W Monroe St
Springfield, IL 62704-1452
Phone (217) 787-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergh-White Opticians, Inc | Optician | Current | Accepting new patients |
Locations
2351 W Monroe St
Springfield, IL 62704
Phone (217) 787-8700
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1598083941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 W MONROE ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627041452",
"telephone_number": "217-787-8700",
"fax_number": "217-787-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 W MONROE ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627041452",
"telephone_number": "217-787-8700",
"fax_number": "217-787-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SUE",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "CERTIFIED OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.