Healthcare Provider Details

I. General information

NPI: 1265530075
Provider Name (Legal Business Name): THOMAS MARSHALL WHITE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 SE MAIN ST
ROSWELL NM
88203-5411
US

IV. Provider business mailing address

8801 HORIZON BLVD NE SUITE 360
ALBUQUERQUE NM
87113-1533
US

V. Phone/Fax

Practice location:
  • Phone: 575-624-0370
  • Fax: 575-624-0376
Mailing address:
  • Phone: 505-828-4923
  • Fax: 505-213-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1166-3
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number290
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: