TW WHITE OD PC (NPI# 1639347016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639347016 |
Entity Type | Organization |
Organization Name | TW WHITE OD PC |
Practice Address |
410 W Hayward Dr Mount Vernon MO 65712-7368 |
Mailing Address |
410 W Hayward Dr Po Box 311 Mount Vernon MO 65712-7368 |
Practice Telephone | 4174662100 |
Practice Fax Number | 4174660432 |
Mailing Telephone | 4174662100 |
Mailing Fax Number | 4174660432 |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-03-06 |
Authorized Official Name | DR. THEODORE WM WHITE SR. (OPTOMETRIST) |
Authorized Official Telephone | 4174662100 |
Authorized Official Credential | O.D.,PC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 002104 | MO | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851623185 | Tw White Od PC | Optometrist | 410 W Hayward Dr, Mount Vernon, MO 65712-7368 | 2010-02-11 |
Street Address |
410 W HAYWARD DR |
City | MOUNT VERNON |
State | MO |
Zip Code | 65712-7368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851623185 | Tw White Od PC | Optometrist | 410 W Hayward Dr, Mount Vernon, MO 65712-7368 | 2010-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
1477567030 | Ricky Lavaughn Kime | Internal Medicine | 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 | 2006-07-28 |
Find all providers in zip 65712 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952950875 | Mount Vernon Eye Care | Eyewear Supplier (Equipment, not the service) | 108 Gramatan Ave, Mount Vernon, NY 10550-1306 | 2019-09-04 |
1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
1922265263 | Mt. Vernon Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 109 Gramatan Ave, Mount Vernon, NY 10550-1322 | 2008-05-22 |
1851561575 | Dr Mark C Hurst Optometrist Ltd | Eyewear Supplier (Equipment, not the service) | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | 2008-03-10 |
1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
1003950460 | Opticare Inc | Eyewear Supplier (Equipment, not the service) | 855 Coshocton Ave Ste 15, Mount Vernon, OH 43050-1975 | 2007-02-19 |
1184714321 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 2301 Freeway Drive, Mount Vernon, WA 98273 | 2006-10-16 |
1568945855 | Knox Community Hospital | Eyewear Supplier (Equipment, not the service) | 1355 Yauger Rd, Mount Vernon, OH 43050 | 2018-09-12 |
1083993380 | Central Ohio Eye Surgeons, Inc | Eyewear Supplier (Equipment, not the service) | 1355 Yauger Rd, Mount Vernon, OH 43050-9233 | 2011-08-04 |
1760533251 | Jeffrey B. Worrell/ Esp Optical | Eyewear Supplier (Equipment, not the service) | 1611 E Division St, Mount Vernon, WA 98274-4503 | 2007-01-13 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 65712 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.