Individual provider Active NPI

Sheralyn Kyle King, O.D.

  • Optometrist
  • Waynesboro, PA
National Provider Identifier
1104025089
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001905 Issued in PA
Practice address
1800 E Main St
Waynesboro, PA 17268-1879
Phone
(717) 762-9178
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLC 118 clinicians

Practice addresses (Care Compare)

1800 E Main St
Waynesboro, PA 17268-1879
Phone (717) 762-9178

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000337 PA Practitioner - Optometry 3971604349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001905PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 13, 2016 Accepting new patients
Myeyedr. Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 13, 2016 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients

Locations

319 York Rd
Carlisle, PA 17013
Phone (717) 258-4422

40 Noble Blvd
Ste 120
Carlisle, PA 17013
Phone (717) 218-6656

494 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-6186

1039 Wayne Ave
Chambersburg, PA 17201
Phone (717) 263-2389

1039 Wayne Ave
Ste 626
Chambersburg, PA 17201

626 Chambersburg Mall
Chambersburg, PA 17202
Phone (717) 263-7050

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

341 Baltimore Rd
Shippensburg, PA 17257
Phone (717) 532-8806

1800 E Main St
Waynesboro, PA 17268
Phone (717) 762-9178

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001905 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1800 E Main St
Waynesboro, PA 17268-1879

Mailing address

19336 Leitersburg Pike
Hagerstown, MD 21742-1436
Phone (717) 263-7050

Other practice location 1

626 Chambersburg Mall
Chambersburg, PA 17202-8101
Phone (717) 263-7050

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1019527740003MedicaidPA

Other names 1

NPPES NPI Registry
  • Dr. Sheralyn Kyle Cerutti Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104025089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19336 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421436",
            "telephone_number": "717-263-7050",
            "fax_number": "717-263-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681879",
            "telephone_number": "717-762-9178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Chambersburg Mall",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172028101",
            "country_code": "US",
            "telephone_number": "717-263-7050",
            "fax_number": "717-263-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "SHERALYN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019527740003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERALYN",
            "last_name": "CERUTTI",
            "middle_name": "KYLE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, PA

Sources for this page

Verify at the official NPI Registry.