Organization Active NPI

Whalen Ophthalmology LLC

  • Ophthalmology Physician
  • East Lyme, CT
National Provider Identifier
1336973882
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WHALEN OPHTHALMOLOGY LLC
Practice address
339 Flanders Rd Ste 109
East Lyme, CT 06333-1731
Phone
(860) 739-4811
Fax
(860) 739-8151
NPI assigned
Aug 28, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Katherine Whalen, MDNPI 1932466992
Title
Owner
Phone
(860) 739-4811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

339 Flanders Rd Ste 109
East Lyme, CT 06333-1731

Mailing address

339 Flanders Rd Ste 109
East Lyme, CT 06333-1731
Phone (860) 739-4811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1336973882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 FLANDERS RD STE 109",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331731",
            "telephone_number": "860-739-4811",
            "fax_number": "860-739-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FLANDERS RD STE 109",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331731",
            "telephone_number": "860-739-4811",
            "fax_number": "860-739-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHALEN OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-739-4811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.