Provider Demographics
NPI:1245267277
Name:WHITE, J. COURTLAND (OD)
Entity type:Individual
Prefix:DR
First Name:J.
Middle Name:COURTLAND
Last Name:WHITE
Suffix:
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 1:800 BREVARD RD
Mailing Address - Street 2:SUITE #772A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2251
Mailing Address - Country:US
Mailing Address - Phone:828-667-8856
Mailing Address - Fax:828-667-4522
Practice Address - Street 1:800 BREVARD RD
Practice Address - Street 2:SUITE #772A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2251
Practice Address - Country:US
Practice Address - Phone:828-667-8856
Practice Address - Fax:828-667-4522
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1518152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist