Individual provider Active NPI

Gary Alfred White, OD OPTOMETRIST

  • Corneal and Contact Management Optometrist
  • Columbia, SC
National Provider Identifier
1922058767
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
595 Issued in MT
Practice address
1620 Browning Rd
Columbia, SC 29210-6924
Phone
(803) 732-4099
Fax
(803) 227-8992
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 595 MT Primary
Optometrist 152W00000X 595 MT

Addresses

Primary practice location

1620 Browning Rd
Columbia, SC 29210-6924

Mailing address

1620 Browning Rd
Columbia, SC 29210-6924
Phone (803) 732-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20141020000967 SC Practitioner - Optometry 0042275232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

2138 W Palmetto St
Florence, SC 29501-4048
Phone (843) 665-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1808SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince May 1, 2025 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Eye Care Associates of Co LLC Optometrist Past Accepting new patients

Locations

230 Kings Hwy E
Haddonfield, NJ 08033
Phone (856) 617-4858

2138 W Palmetto St
Florence, SC 29501
Phone (843) 662-1989

966 Houston Northcutt Blvd
Ste D
Mt Pleasant, SC 29464
Phone (843) 881-2492

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1922058767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BROWNING RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106924",
            "telephone_number": "803-732-4099",
            "fax_number": "803-227-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BROWNING RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106924",
            "telephone_number": "803-732-4099",
            "fax_number": "803-227-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GARY",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MT",
            "license": "595",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.