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Organization
VINCENT W. WHITE OD, INC.
Active
Organization
VINCENT W. WHITE OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT WILLIAM WHITE OD (OWNER)
(818) 779-0152
Entity
Organization
Contact information
Practice address
15230 BURBANK BLVD, # 109, SHERMAN OAKS, CA 91411-3534
(818) 779-0152
(818) 779-0854
Mailing address
15230 BURBANK BLVD, # 109, SHERMAN OAKS, CA 91411-3534
(818) 779-0152
(818) 779-0854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245259761
—
CA
05
—
SD0053460
—
CA
Enumeration date
09/29/2008
Last updated
09/29/2008
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