Leslie W White, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

872 Issued in OK

Practice address

126 S Highland Ave
Cushing, OK 74023-4115

Phone

(918) 225-1548

Fax

(918) 225-1548

NPI assigned

Aug 31, 2006

Last updated

Aug 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leslie White O D Inc

  • Optometrist
  • Cushing, OK
  • NPI 1790868719
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1851402598",
    "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": {
        "last_name": "WHITE",
        "first_name": "LESLIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL  TAX ID",
            "identifier": "731001801",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762540 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Rocky Wallain
• Carly Dion Waren, ARNP
• Jeanette Renee Warren, LPN
• Tammy Anne Warrior, L.P.N.
• Amy Nichole West, PHARMD
• Lynzie Wilson, PT, DPT
• World Wide Anesthesia Alliance
• Cassidy Young, LPC-CANDIDATE
• Colin Archibald Young, DMD
• Deborah Denise Young, MA.CCC/SLP

• Optometrist in Cushing, OK
• Providers in Cushing, OK by specialty
• Optometrist in Oklahoma

• 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.