DR. MARTIN R. WHITE (O.D.) – Optometrist, NPI 1003816943

DR. MARTIN R. WHITE (O.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18002542B (IN). The NPI Number for DR. MARTIN R. WHITE (O.D.) is 1003816943

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTIN R. WHITE (O.D.)
NPI
1003816943
Phone
(260) 486-8833
Address
6110 MAPLECREST RD
Enumeration Date
21 July 2005
Last Update Date
24 February 2010

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2604868833
Graduation Year
1991 (35 years ago)
PAC ID
5991836041
Group Practice PAC ID
4082745138
Professional Enrollment ID
I20100706000569
Address ID
IN468352524FO6110XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. MARTIN R. WHITE (O.D.)

  • Saint Joe Vision, 6110, Maplecrest Road, Fort Wayne, Allen County, Indiana, 46835, United States

    FORT WAYNE, IN 468352524

    Phone: (260) 486-8833

    Fax: (260) 486-8784

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-07-10 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BIOTISSUE HOLDINGS, INC.$39
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100706000569IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system159159$0
92250Photography of the retina105105$0
92134Imaging of retina6759$0
99213Established patient office or other outpatient visit, 20-29 minutes5945$0
92083Exam of visual field with extended testing4744$0
View full utilization report →

Insurance plans in this area (ZIP 46835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082745138View full group profile
NameSpecialtyState
O P T O M E T R YIN

Reviews

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Frequently asked questions

Is DR. MARTIN R. WHITE (O.D.) listed with a National Provider Identifier?
Yes — DR. MARTIN R. WHITE (O.D.) has NPI 1003816943 on file in the registry.
Is DR. MARTIN R. WHITE (O.D.) still an active registrant?
DR. MARTIN R. WHITE (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. MARTIN R. WHITE (O.D.)?
DR. MARTIN R. WHITE (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MARTIN R. WHITE (O.D.) located near Fort Wayne?
DR. MARTIN R. WHITE (O.D.) currently maps to Fort Wayne, Indiana in this extract.
Can I trust this NPI listing for DR. MARTIN R. WHITE (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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