Individual provider Active NPI

Kathleen Vanhorn, OD

  • Optometrist
  • Phila, PA
National Provider Identifier
1083096218
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003066 Issued in PA
Practice address
1015 Chestnut St.
Suite 417
Phila, PA 19107-4304
Phone
(215) 627-4448
Fax
(215) 622-5798
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002424 VA
Optometrist 152W00000X TA2479 MD
Optometrist 152W00000X OEG003066 PA Primary

Addresses

Primary practice location

1015 Chestnut St.
Suite 417
Phila, PA 19107-4304

Mailing address

1015 Chestnut St.
Suite 417
Phila, PA 19107-4304
Phone (215) 627-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151201000166 DC Practitioner - Optometry 4385944164 Reassigns benefits to 1 organization
I20250605000505 PA Practitioner - Optometry 4385944164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Eye Care PCGroup PAC ID 4688975691, 3 clinicians

Practice addresses (Care Compare)

1015 Chestnut St
Suite 417
Phila, PA 19107-4304
Phone (215) 627-4448

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2479MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometric Associates P.C. Optometrist CurrentSince Nov 20, 2015 Accepting new patients
Franklin Eye Care PC Optometrist CurrentSince May 29, 2025 Accepting new patients
Eye to Eye of Frederick Inc Optometrist Past Accepting new patients
Irving I Criden & Scott Page OD PC Optometrist PastSince Dec 1, 2024 Accepting new patients

Locations

2060 Yellow Springs Rd
Ste 104
Frederick, MD 21702
Phone (301) 662-5474

1015 Chestnut St
Ste 417
Philadelphia, PA 19107
Phone (215) 574-0462

8651 John J Kingman Rd
#2321
Ft Belvoir, VA 22060
Phone (571) 339-8328

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1083096218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST.",
            "address_2": "SUITE 417",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191074304",
            "telephone_number": "215-627-4448",
            "fax_number": "215-622-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST.",
            "address_2": "SUITE 417",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191074304",
            "telephone_number": "215-627-4448",
            "fax_number": "215-622-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002424",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2479",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.