Organization
JEFFREY W. WHITE OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WADE WHITE O.D. (OPTOMETRIST)
(559) 584-1630
Entity
Organization
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
261Q00000X
Clinic/Center
Primary
COR958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104995570
—
CA
05
—
1184861163
—
CA
Enumeration date
01/13/2009
Last updated
06/30/2014
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