Organization
TREVOR WHITE, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR SCHAEFFER WHITE O.D. (OPTOMETRIST)
(405) 262-6611
Entity
Organization
Contact information
Practice address
100 N CHOCTAW AVE, EL RENO, OK 73036-2678
(405) 262-6611
Mailing address
100 N CHOCTAW AVE, EL RENO, OK 73036-2678
(405) 262-6611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2438
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200195940A
—
OK
Enumeration date
05/24/2007
Last updated
04/02/2009
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