Provider Demographics
NPI:1295280188
Name:WHITE, DONALD FELIX JR (OD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:FELIX
Last Name:WHITE
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1401 GREENBRIER PKWY
Mailing Address - Street 2:SUITE 2112
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2830
Mailing Address - Country:US
Mailing Address - Phone:757-420-3032
Mailing Address - Fax:
Practice Address - Street 1:1401 GREENBRIER PKWY
Practice Address - Street 2:SUITE 2112
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2830
Practice Address - Country:US
Practice Address - Phone:757-420-3032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002512152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist