Individual provider Active NPI

Withney Milord Korley, O.D

  • Optometrist
  • Middletown, DE
National Provider Identifier
1669906434
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001418 Issued in DE
Practice address
5435 Peterson Rd
Middletown, DE 19709-8953
Phone
(302) 272-5517
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003760 PA
Optometrist 152W00000X OPC5543 FL
Optometrist 152W00000X I3-0001418 DE Primary

Addresses

Primary practice location

5435 Peterson Rd
Middletown, DE 19709-8953

Mailing address

5435 Peterson Rd
Middletown, DE 19709-8953
Phone (302) 609-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20191018000478 DE Practitioner - Optometry 4284907262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar See Vision Center LLCGroup PAC ID 0244603454, 2 clinicians

Practice addresses (Care Compare)

5435 Peterson Rd
Middletown, DE 19709-8953
Phone (302) 272-5517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001418DEMDOptometrist
OPC5543FLMDOptometrist
OEG003760PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar See Vision Center LLC Optometrist CurrentSince Oct 20, 2023 Accepting new patients
Delaware Eye Care Center PA Optometrist PastSince Oct 1, 2020 Accepting new patients
Vision Care Specialists, P.C. Optometrist PastSince Aug 1, 1993 Accepting new patients
Aeg Massachusetts Professional PC Optometrist PastSince Sep 7, 2022 Accepting new patients

Locations

5435 Peterson Rd
Middletown, DE 19709
Phone (302) 272-5517

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1669906434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 PETERSON RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098953",
            "telephone_number": "302-609-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 PETERSON RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098953",
            "telephone_number": "302-272-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORLEY",
        "first_name": "WITHNEY",
        "middle_name": "MILORD",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003760",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5543",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.