# WHITESTAR PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215997804
- **Authorized official:** DARRELL WHITE (OWNER)
- **Authorized official phone:** (440) 892-3931

## Contact information

- **Practice address:** 2237 CROCKER RD, SUITE 100, WESTLAKE, OH 44145-6789
- **Practice address phone:** (440) 892-3931
- **Mailing address:** 2237 CROCKER RD, SUITE 100, WESTLAKE, OH 44145-6789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 06/25/2008
