Healthcare Provider Details

I. General information

NPI: 1568392488
Provider Name (Legal Business Name): JOANIE WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1693 STRINGTOWN RD
GROVE CITY OH
43123-8265
US

IV. Provider business mailing address

2383 CRIMSONBERRY LN
GROVE CITY OH
43123-3768
US

V. Phone/Fax

Practice location:
  • Phone: 614-539-8640
  • Fax:
Mailing address:
  • Phone: 614-539-8640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: