Organization Active NPI

Leslie White O D Inc

  • Optometrist
  • Cushing, OK
National Provider Identifier
1790868719
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
872 Issued in OK
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

Updated by the provider on Aug 12, 2009

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.NPI 1851402598
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100762540AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.