Individual
DR. AUSTIN GREGORY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
232 CRAFTON INGRAM SHP CTR, CRAFTON, PA 15205-2353
(412) 922-2305
(412) 922-0688
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1098-IOD
WV
152W00000X
Optometrist
Primary
OEG002895
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025073
—
WV
Enumeration date
11/08/2012
Last updated
09/27/2024
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