Provider Demographics
NPI:1124093455
Name:WHITE, LAURA ARTHUR (OD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ARTHUR
Last Name:WHITE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 CENTER POINT PKWY
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-5503
Mailing Address - Country:US
Mailing Address - Phone:205-856-1522
Mailing Address - Fax:866-790-7968
Practice Address - Street 1:1627 CENTER POINT PKWY
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:AL
Practice Address - Zip Code:35215-5503
Practice Address - Country:US
Practice Address - Phone:205-856-1522
Practice Address - Fax:866-790-7968
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS8567TA416152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51528231OtherBCBS OF ALABAMA
AL51528231OtherBCBS OF ALABAMA