Individual
DR. TREVOR SCHAEFFER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 N CHOCTAW AVE, EL RENO, OK 73036-2678
(405) 262-6611
(405) 262-6618
Mailing address
100 N CHOCTAW AVE, EL RENO, OK 73036-2678
(405) 262-6611
(405) 262-6618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2438
OK
152WC0802X
Corneal and Contact Management Optometrist
2438
OK
152WL0500X
Low Vision Rehabilitation Optometrist
2438
OK
152WP0200X
Pediatric Optometrist
2438
OK
152WS0006X
Sports Vision Optometrist
2438
OK
152WV0400X
Vision Therapy Optometrist
2438
OK
152WX0102X
Occupational Vision Optometrist
2438
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037580 A
—
OK
01
—
P00150242
RAILROAD MEDICARE
OK
Enumeration date
11/09/2006
Last updated
10/20/2020
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