Christopher Thomas White, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001839 Issued in WA

Practice address

1286 Mount Baker Rd
Suite B
Eastsound, WA 98245-8931

Phone

(360) 376-5310

Fax

(866) 393-7127

NPI assigned

Feb 14, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in WA

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• San Juans Vision Care P.S.

  • Clinic/Center
  • Eastsound, WA
  • NPI 1932227154
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1710020482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982450181",
            "telephone_number": "360-376-5310",
            "fax_number": "866-393-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MOUNT BAKER RD",
            "address_2": "SUITE B",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458931",
            "telephone_number": "360-376-5310",
            "fax_number": "866-393-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER'S PROVIDER TRANSACTION ACESS NUMBER PTAN",
            "identifier": "G8873411",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029650",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrel Finmor, DMD, PLLC
• Danica Wallace
• Jennifer Sue Wareham, LMFT
• Glen E. Weller, M.D.
• Ricarda Lynn Westcott, RN
• Paula Whitmire, MD
• Janice K. Wiemeyer, PH.D.
• Brenda Williams, D.M.D.
• Christina Denise Wolf, LMHCA
• Christopher Glenn Wood, DDS

• Optometrist in Eastsound, WA
• Providers in Eastsound, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.