Individual provider Active NPI

Daniel P. Kirn, O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1629001573
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000766 Issued in PA
Practice address
2151 Linglestown Rd
Suite 210
Harrisburg, PA 17110-9499
Phone
(717) 657-5030
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000766 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 4

IdentifierTypeStateIssuer
02123201OtherPAKEYSTONE
36920OtherPADAVIS VISION
DA784868OtherPACLARITY VISION/OPTICHOICE
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
I20040512001169 PA Practitioner - Optometry 7911996269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000766PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Apr 26, 2024 Accepting new patients
Kirn Family Eyecare Optometrist CurrentSince Sep 1, 1995 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients
Hunters Hill Eye Center LLC Optometrist PastSince Aug 23, 2017 Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

2405 Linglestown Rd
Harrisburg, PA 17110
Phone (717) 652-1051

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

2151 Linglestown Rd
Ste 210
Harrisburg, PA 17110
Phone (717) 541-5661

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

Organizations & group practices 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1629001573",
    "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": "KIRN",
        "first_name": "DANIEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "02123201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "36920",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION/OPTICHOICE",
            "identifier": "DA784868",
            "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.