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DR. DAMON BRYON WHITE OD
NPI 1407906852
Optometrist - Vision Therapy in Edmond, OK

Active since January 10, 2007Opted out of Medicare · through Jul 22, 2028
1300 E 15TH ST STE 170, EDMOND, OK 73013(405) 216-0707(405) 216-0707 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Damon Bryon White Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAMON BRYON WHITE OD (NPI 1407906852) is an individual vision therapy provider in Edmond, Oklahoma, licensed in Oklahoma (2264) and active in the NPI registry since January 2007. He has opted out of Medicare through July 22, 2028.

NPPES Registry Identity

NPI1407906852
Entity TypeIndividualMale
Primary Taxonomy152WV0400X
Provider Legal NameDR. DAMON BRYON WHITECredential: OD
Location Address1300 E 15TH ST STE 170Edmond, OK 73013-5042
Mailing Address1300 E 15th St Ste 170Edmond, OK 73013-5042 · (405) 216-0707 · Fax (405) 216-0707
Phone(405) 216-0707
Fax(405) 216-0707
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407906852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in OK · 2264
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
1300 E 15TH ST STE 170, Edmond, OK 73013
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Damon Bryon White Od has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2024 through July 22, 2028.

Opt-Out Effective DateJuly 22, 2024
Opt-Out In Effect ThroughJuly 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damon White's NPI number?

The NPI number for Damon White is 1407906852. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Damon White located?

Damon White practices at 1300 E 15th St Ste 170, Edmond, OK 73013. The listed phone number is (405) 216-0707.

What is Damon White's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Damon White enrolled in Medicare?

No. Damon White has opted out of Medicare through July 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Damon White was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.