Provider Demographics
NPI:1558434977
Name:WHITE, KATHERINE SINGLETARY (OD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:SINGLETARY
Last Name:WHITE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 JAMES B WHITE HWY N
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8989
Mailing Address - Country:US
Mailing Address - Phone:910-641-0011
Mailing Address - Fax:910-641-0083
Practice Address - Street 1:2183 JAMES B WHITE HWY N
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-8989
Practice Address - Country:US
Practice Address - Phone:910-641-0011
Practice Address - Fax:910-641-0083
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1709152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2238826OtherUNITED HEALTHCARE
NC0919XOtherBCBS
NC890919XMedicaid
U73441Medicare UPIN
NC2238826OtherUNITED HEALTHCARE
2471196AMedicare PIN