Provider Demographics
NPI:1407232879
Name:WHITE, ANDREW STEVEN (OD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:STEVEN
Last Name:WHITE
Suffix:
Gender:
Credentials:OD
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Mailing Address - Street 1:25500 MEADOWBROOK RD STE 250
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1883
Mailing Address - Country:US
Mailing Address - Phone:248-277-3110
Mailing Address - Fax:248-946-4423
Practice Address - Street 1:25500 MEADOWBROOK RD STE 250
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1883
Practice Address - Country:US
Practice Address - Phone:248-277-3110
Practice Address - Fax:248-946-4423
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901004929152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist