TW WHITE OD PC; NPI #1639347016

Contact Information

TW WHITE OD PC

410 W HAYWARD DR
MOUNT VERNON, MO 65712-7368

Phone: 417-466-2100
Fax: 417-466-0432
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for TW WHITE OD PC

NPI # 1639347016

LBN Legal business name TW WHITE OD PC

Authorized official THEODORE WHITE - (OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/19/2008

Last updated 03/06/2008 - About 18 years ago

Identifiers

License #

002104

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TW WHITE OD PC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for TW WHITE OD PC

Reviews for TW WHITE OD PC