| Jeffrey W. White Optometric Corporation | |
|
715 N Irwin St Hanford CA 93230-3813 | |
| (559) 584-1630 | |
| (559) 584-1757 |
| Full Name | Jeffrey W. White Optometric Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 N Irwin St, Hanford, California |
| Authorized Official Name and Position | Jeffrey Wade White (OPTOMETRIST) |
| Authorized Official Contact | 5595841630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W. White Optometric Corporation 715 N Irwin St Hanford CA 93230-3813 Ph: (559) 584-1630 | Jeffrey W. White Optometric Corporation 715 N Irwin St Hanford CA 93230-3813 Ph: (559) 584-1630 |
| NPI Number | 1184861163 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 1759447147 |
|---|---|
| Medicare Enrollment ID | O20090310000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184861163 | NPI | - | NPPES |
| 1184861163 | Medicaid | CA | |
| 1104995570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | COR958 (California) | Primary |
| Provider Name | Jeffrey W White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104995570 PECOS PAC ID: 1850457243 Enrollment ID: I20090310000520 |
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