Samuel Milton White, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5633 Issued in MA

Practice address

30 Turnpike Rd Ste 7
Southborough, MA 01772-2115

Phone

(508) 481-8558

NPI assigned

Jun 12, 2023

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

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

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 2

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 and National Provider Directory roles.

• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  Medicare reassignment NPD
• Eric M. White OD, Inc

  • Corneal and Contact Management Optometrist
  • San Diego, CA
  • NPI 1699987768
  Medicare reassignment NPD
• Vision Care Specialists, P.C.

  • Low Vision Rehabilitation Optometrist
  • Southborough, MA
  • NPI 1568546968
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1760166656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HARRIS RD # 1",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TURNPIKE RD STE 7",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722115",
            "telephone_number": "508-481-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SAMUEL",
        "middle_name": "MILTON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Weisser
• Christine Wertz, APRN
• West Suburban Gi PC
• Alyssa Wetmore
• Kathleen White
• Joshua Lucas Whitney
• Laura Wilhelm
• Ashley Marie Williams
• Sarah Ann Wilsack I
• Grace C Winship, NP

• Optometrist in Southborough, MA
• Providers in Southborough, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.