White Mountain Eye Institute PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1530 Issued in AZ

Legal business name

WHITE MOUNTAIN EYE INSTITUTE PLC

Practice address

39 E 1St St
Eagar, AZ 85925-9847

Phone

(928) 333-4396

Fax

(928) 333-5050

NPI assigned

Jul 25, 2016

Last updated

Sep 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kayle Lamar Haws, O.D.NPI 1477667558

Title

Owner/Provider

Phone

(928) 581-2825

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Kayle L Haws, O.D.

  • Optometrist
  • Eagar, AZ
  • NPI 1477667558
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1861945925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E 1ST ST",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859259847",
            "telephone_number": "928-333-4396",
            "fax_number": "928-333-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 1ST ST",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859259847",
            "telephone_number": "928-333-4396",
            "fax_number": "928-333-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN EYE INSTITUTE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "KAYLE",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "928-581-2825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11940710",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Palmer DDS PC
• Summit Healthcare Medical Associates
• Susan L Blatt DC LLC
• Mason Wade Trezise
• Sarah Lynne Webb, PSS
• White Mountain Regional Medical Center Rural Health Clinic
• Sean Patrick Wilson, M.D.

• Optometrist in Eagar, AZ
• Providers in Eagar, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.