Individual
MR. JEFFREY WADE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
715 N IRWIN ST, HANFORD, CA 93230-3813
(559) 584-1630
(559) 584-1757
Mailing address
715 N IRWIN ST, HANFORD, CA 93230-3813
(559) 584-1630
(559) 584-1757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8896T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0088960
—
CA
Enumeration date
11/07/2006
Last updated
05/14/2012
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