Organization Active NPI

Trevor White, O.D., P.C.

  • Optometrist
  • El Reno, OK
National Provider Identifier
1598976441
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2438 Issued in OK
Legal business name
TREVOR WHITE, O.D., P.C.
Practice address
100 N Choctaw Ave
El Reno, OK 73036-2678
Phone
(405) 262-6611
NPI assigned
May 24, 2007
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Trevor Schaeffer White, O.D.NPI 1023188570
Title
Optometrist
Phone
(405) 262-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2438 OK Primary

Addresses

Primary practice location

100 N Choctaw Ave
El Reno, OK 73036-2678

Mailing address

100 N Choctaw Ave
El Reno, OK 73036-2678
Phone (405) 262-6611

Other identifiers 1

IdentifierTypeStateIssuer
200195940AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090129000647 OK Part B Supplier - Clinic/Group Practice 7012071418 Receives reassigned benefits from 1 practitioner
Practice locations: El Reno, OK

National Provider Directory

National Provider Directory

Locations

100 N Choctaw Ave
El Reno, OK 73036
Phone (405) 262-6611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1598976441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CHOCTAW AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362678",
            "telephone_number": "405-262-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHOCTAW AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362678",
            "telephone_number": "405-262-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR WHITE, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "SCHAEFFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-262-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.