Individual provider Active NPI

Benjamin Harold Whitling, O.D.

  • Optometrist
  • Punxsutawney, PA
National Provider Identifier
1265548531
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001813 Issued in PA
Practice address
21920 Route 119
Punxsutawney, PA 15767-7975
Phone
(814) 938-9100
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001813 PA Primary

Addresses

Primary practice location

21920 Route 119
Punxsutawney, PA 15767-7975

Mailing address

447 Jared St
Brookville, PA 15825-1190

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
I20070809000425 PA Practitioner - Optometry 0840381513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Main St
Brookville, PA 15825-0817
Phone (814) 849-3996

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001813PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitling Eye Co. Optometrist CurrentSince Jan 1, 2017 Accepting new patients

Locations

175 Main St
Brookville, PA 15825
Phone (814) 849-3996

21920 Route 119
Punxsutawney, PA 15767
Phone (814) 938-8100

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1265548531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 JARED ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21920 ROUTE 119",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157677975",
            "telephone_number": "814-938-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLING",
        "first_name": "BENJAMIN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.