1. Home
  2. Directory
  3. California
  4. San Diego
  5. Optometrist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL MILTON WHITE OD
NPI 1760166656
Optometrist in San Diego, CA

Active since June 12, 2023PECOS Enrolled
5075 RUFFIN RD STE B, SAN DIEGO, CA 92123(858) 278-4720(858) 278-3640 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Sep 7, 2023, Jun 12, 2023 (3 updates tracked since 2023).

About Samuel Milton White Od NPPES

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

SAMUEL MILTON WHITE OD (NPI 1760166656) is an individual optometrist in San Diego, California, licensed in California (35908) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760166656
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAMUEL MILTON WHITECredential: OD
Location Address5075 RUFFIN RD STE BSan Diego, CA 92123-1698
Mailing Address5075 Ruffin Rd Ste BSan Diego, CA 92123-1698 · (858) 278-4720 · Fax (858) 278-3640
Phone(858) 278-4720
Fax(858) 278-3640
Sole ProprietorYes
Enumeration DateJune 12, 2023
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1760166656 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 CA · 35908
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.
5075 RUFFIN RD STE B, San Diego, CA 92123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Milton White Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eric M. White Od, Inc
Same address
Corneal and Contact Management
5075 RUFFIN RD STE B
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1699987768 (858) 278-4720
Aeg Massachusetts Professional PC
2,574 mi
Optometrist
15 CENTRAL ST
Andover, MA 01810
  • Reassigned Medicare billing, Massachusetts enrollment
  • 59 clinicians in this Medicare group
NPI 1952035040 (978) 475-5252

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL CHARLES SATTERLEE OD
Optometrist
5075 RUFFIN RD STE B
SAN DIEGO, CA 92123
San Diego County (858) 274-9464
ERIC M. WHITE OD, INC
Optometrist (Corneal and Contact Management)
5075 RUFFIN RD STE B
SAN DIEGO, CA 92123
San Diego County (858) 278-4720
BETSY CATHEY O.D.
Optometrist
5075 RUFFIN RD STE B
SAN DIEGO, CA 92123
San Diego County (858) 278-4720
DR. JOSEPH DANIEL MANNEN O.D.
Optometrist
5075 RUFFIN RD STE B
SAN DIEGO, CA 92123
San Diego County (858) 278-4720

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 Samuel White's NPI number?

The NPI number for Samuel White is 1760166656. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Samuel White located?

Samuel White practices at 5075 Ruffin Rd Ste B, San Diego, CA 92123. The listed phone number is (858) 278-4720.

What is Samuel White's specialty?

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

Is Samuel White enrolled in Medicare?

Yes. Samuel White is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel White reassigns Medicare benefits to 2 organizations: Eric M. White Od, Inc (San Diego, CA) and Aeg Massachusetts Professional PC (Andover, MA). Each 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 Samuel White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel White accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Samuel White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel White was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.