Individual provider Active NPI

Katherine White, O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1225112568
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000765 Issued in PA
Practice address
2151 Linglestown Rd
Suite 210
Harrisburg, PA 17110-9499
Phone
(717) 657-5030
NPI assigned
Oct 24, 2006
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000765 PA Primary

Addresses

Primary practice location

2151 Linglestown Rd
Suite 210
Harrisburg, PA 17110-9499

Mailing address

2151 Linglestown Rd
Suite 210
Harrisburg, PA 17110-9499
Phone (717) 657-5030

Other identifiers 3

IdentifierTypeStateIssuer
DA784868OtherPACLARITY VISION
0784927OtherPAKEYSTONE HEALTH PLAN
396530OtherPANVA

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
I20040615001034 PA Practitioner - Optometry 1254320500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

2151 Linglestown Rd
Suite 110
Harrisburg, PA 17110-9482
Phone (717) 657-5030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince May 30, 2024 Accepting new patients
Kirn Family Eyecare Optometrist PastSince Sep 1, 1995 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

2151 Linglestown Rd
Ste 110
Harrisburg, PA 17110
Phone (717) 233-6171

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1225112568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "SUITE 210",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-657-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "SUITE 210",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-657-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "DA784868",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0784927",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "396530",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.