OrganizationActive
Tw White OD PC
NPI 1639347016 · Eyewear Supplier · Mount Vernon, MO
Provider details
- NPI number
- 1639347016
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Theodore White, Optometrist(417) 466-2100
- License
- 002104 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 W Hayward Dr
Mount Vernon, MO 65712-7368
Phone: (417) 466-2100
Fax: (417) 466-0432
Approximate (ZIP-level) locationGet directions
Mailing address
410 W Hayward Dr
Mount Vernon, MO 65712-7368
Registry dates
- Enumerated
- 2008-02-19
- Last updated
- 2008-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.