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WHITE MOUNTAIN EYE CARE CENTER PC
NPI 1679710529
Optometrist in Snowflake, AZ

Active since January 14, 2009
176 N MAIN ST, SNOWFLAKE, AZ 85937(928) 536-4000(928) 536-5287 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About White Mountain Eye Care Center Pc NPPES

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

WHITE MOUNTAIN EYE CARE CENTER PC (NPI 1679710529) is a healthcare organization registered as an optometrist in Snowflake, Arizona and active in the NPI registry since January 2009. The organization lists George Elden Blair, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1679710529
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWHITE MOUNTAIN EYE CARE CENTER PC
Location Address176 N MAIN STSnowflake, AZ 85937-5054
Mailing Address176 N Main StSnowflake, AZ 85937-5054 · (928) 536-4000 · Fax (928) 536-5287
Phone(928) 536-4000
Fax(928) 536-5287
Organization SubpartNo
Authorized OfficialGeorge Elden BlairOwner/partner · (928) 536-4000
Enumeration DateJanuary 14, 2009
Last NPPES UpdateMay 21, 2009
✔ NPI 1679710529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 858
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
176 N MAIN ST, Snowflake, AZ 85937
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Other Identifiers 1

Medicare NSC1253380001AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Mountain Eye Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20100930091322DME · Physician - OptometristDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to White Mountain Eye Care Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Blair, OD
Optometry
NPI 1952376899
932 S MAIN ST STE 201
Snowflake, AZ 85937
(928) 536-4000
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 White Mountain Eye Care Center PC's NPI number?

The NPI number for White Mountain Eye Care Center PC is 1679710529. It was assigned to this organization in the NPPES registry on January 14, 2009.

Where is White Mountain Eye Care Center PC located?

White Mountain Eye Care Center PC is located at 176 N Main St, Snowflake, AZ 85937. The listed phone number is (928) 536-4000.

What is White Mountain Eye Care Center PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is White Mountain Eye Care Center PC enrolled in Medicare?

Yes. White Mountain Eye Care Center PC is registered in the Medicare PECOS enrollment system.

When is White Mountain Eye Care Center PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arizona, Physician - Optometrist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through White Mountain Eye Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to White Mountain Eye Care Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for White Mountain Eye Care Center PC was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.