Active NPI
Timothy Whitmire, O.D.
- Optometrist
- Enola, PA
National Provider Identifier
1669887600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0003085
- Practice address
- 6943 Wertzville Rd
Enola, PA 17025-1039 - Phone
- (717) 645-6074
- NPI assigned
- Jun 29, 2014
- Last updated
- Oct 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003085 | CO | Primary |
| Optometrist | 152W00000X | OEG002943 | PA |
Addresses
Primary practice location
6943 Wertzville Rd
Enola, PA 17025-1039
Mailing address
6943 Wertzville Rd
Enola, PA 17025-1039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0003085 | CO | MD | Optometrist |
| OEG002943 | PA | MD | Optometrist |
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, 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": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1669887600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6943 WERTZVILLE RD",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6943 WERTZVILLE RD",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251039",
"telephone_number": "717-645-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMIRE",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-29",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003085",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002943",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.