Active NPI
Leslie White O D Inc
- Optometrist
- Cushing, OK
National Provider Identifier
1790868719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 872
- Legal business name
- LESLIE WHITE O D INC
- Practice address
- 126 S Highland Ave
Cushing, OK 74023-4115 - Phone
- (918) 225-1548
- Fax
- (918) 225-1548
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie Wayne White, O.D.
- Title
- President
- Phone
- (918) 225-1548
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 872 | OK | Primary |
Addresses
Primary practice location
126 S Highland Ave
Cushing, OK 74023-4115
Mailing address
PO Box 670
Cushing, OK 74023-0670
Phone (918) 225-1548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100762540A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
126 S Highland Ave
Cushing, OK 74023
Phone (918) 225-1548
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.
-
- Optometrist
- Cushing, OK
- NPI 1851402598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250035200000",
"number": "1790868719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "CUSHING",
"state": "OK",
"postal_code": "740230670",
"telephone_number": "918-225-1548",
"fax_number": "918-225-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S HIGHLAND AVE",
"city": "CUSHING",
"state": "OK",
"postal_code": "740234115",
"telephone_number": "918-225-1548",
"fax_number": "918-225-1548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE WHITE O D INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2009-08-12",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-225-1548",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100762540A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cushing, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.