Active NPI
Darin Mark Whitesel, O.D.
- Optometrist
- Mifflintown, PA
National Provider Identifier
1730117524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000339
- Practice address
- 6 Parkside CT
Mifflintown, PA 17059-9012 - Phone
- (717) 436-8955
- Fax
- (717) 436-2443
- NPI assigned
- Jun 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000339 | PA | Primary |
Addresses
Primary practice location
6 Parkside CT
Mifflintown, PA 17059-9012
Mailing address
PO Box 181
6 Parkside CT.
Mifflintown, PA 17059-0181
Phone (717) 436-8955
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
38 Envision Dr
Mifflintown, PA 17059-7724
Phone (717) 436-8955
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000339 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Eye Care | Optometrist | Current | Accepting new patients |
| Aeg Pennsylvania Professional Inc | Optometrist | Current | Accepting new patients |
| Aeg Pennsylvania Professional, Inc | Optometrist | Past | Accepting new patients |
Locations
231 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-1654
187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501
38 Envision Dr
Mifflintown, PA 17059
Phone (717) 436-8955
Organizations & group practices 3
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.
-
- Optometrist
- Pittsburgh, PA
- NPI 1851958854
-
- Optometrist
- Mifflintown, PA
- NPI 1982625562
-
- Optometrist
- Pittsburgh, PA
- NPI 1932604220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730117524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 181",
"address_2": "6 PARKSIDE CT.",
"city": "MIFFLINTOWN",
"state": "PA",
"postal_code": "170590181",
"telephone_number": "717-436-8955",
"fax_number": "717-436-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PARKSIDE CT",
"city": "MIFFLINTOWN",
"state": "PA",
"postal_code": "170599012",
"telephone_number": "717-436-8955",
"fax_number": "717-436-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESEL",
"first_name": "DARIN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mifflintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.