SAMUEL MILTON WHITE OD
NPI 1760166656
Optometrist in Southborough, MA

Active since June 12, 2023PECOS Enrolled
30 TURNPIKE RD STE 7, SOUTHBOROUGH, MA 01772(508) 481-8558 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2023, Jun 12, 2023 (2 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 Southborough, Massachusetts, licensed in Massachusetts (5633) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2023).

NPPES Registry Identity

NPI1760166656
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAMUEL MILTON WHITECredential: OD
Location Address30 TURNPIKE RD STE 7Southborough, MA 01772-2115
Mailing Address29 Harris Rd # 1Medford, MA 02155-4210
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2023
Enumeration DateJune 12, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
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 MA · 5633
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.

30 TURNPIKE RD STE 7, Southborough, MA 01772

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5092164178
PECOS Enrollment IDI20250709002750
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 01772 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

Optometrist
30 TURNPIKE RD STE 7
SOUTHBOROUGH, MA 01772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760166656, enumerated as an "individual" on June 12, 2023.

The provider is located at 30 TURNPIKE RD STE 7 SOUTHBOROUGH, MA 01772 and the phone number is (508) 481-8558.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.