Individual provider Active NPI

Robert Howard Whitlock, O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1104904416
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000262 Issued in PA
Practice address
5030 Jonestown Rd
Harrisburg, PA 17112-2921
Phone
(717) 657-0803
Fax
(717) 526-9808
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000262 PA Primary

Addresses

Primary practice location

5030 Jonestown Rd
Harrisburg, PA 17112-2921

Mailing address

5017 Woodbox LN
Mechanicsburg, PA 17055-4856
Phone (717) 796-9371

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
I20090126000034 PA Practitioner - Optometry 8224192935 Reassigns benefits to 1 organization
Practice locations: Harrisburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

1000 Carlisle St
Suite 1280
Hanover, PA 17331-1121
Phone (717) 637-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000262PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Optical Group Optometrist CurrentSince Feb 27, 2024 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients

Locations

316 S Hamilton Rd
Gahanna, OH 43230

1000 Carlisle St
Ste 1280
Hanover, PA 17331
Phone (717) 637-4944

5030 Jonestown Rd
#22
Harrisburg, PA 17112
Phone (717) 657-0802

5030 Jonestown Rd
Harrisburg, PA 17112
Phone (717) 657-0802

Organizations & group practices 2

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1104904416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 WOODBOX LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554856",
            "telephone_number": "717-796-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 JONESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122921",
            "telephone_number": "717-657-0803",
            "fax_number": "717-526-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "ROBERT",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.