Individual provider Active NPI

Terry Lynn White, O.D.

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1861552390
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3705T Issued in TX
Practice address
1220 N Town East Blvd
Suite 220
Mesquite, TX 75150-7605
Phone
(972) 613-9000
Fax
(972) 613-0175
NPI assigned
Dec 12, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3705T TX Primary

Addresses

Primary practice location

1220 N Town East Blvd
Suite 220
Mesquite, TX 75150-7605

Mailing address

1220 N Town East Blvd
Suite 220
Mesquite, TX 75150-7605
Phone (972) 613-9000

Other names 1

  • Ms. Terri White Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20131104000325 TX Practitioner - Optometry 4587899349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3705TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Optometrist Current Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Mar 18, 2024 Accepting new patients

Locations

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

1220 N Town East Blvd
Ste 220
Mesquite, TX 75150
Phone (972) 613-9000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1861552390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N TOWN EAST BLVD",
            "address_2": "SUITE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507605",
            "telephone_number": "972-613-9000",
            "fax_number": "972-613-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N TOWN EAST BLVD",
            "address_2": "SUITE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507605",
            "telephone_number": "972-613-9000",
            "fax_number": "972-613-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3705T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "SMITH",
            "middle_name": "WHITE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.