Individual provider Active NPI

Darin Mark Whitesel, O.D.

  • Optometrist
  • Mifflintown, PA
National Provider Identifier
1730117524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000339 Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000053 PA Practitioner - Optometry 3678539624 Reassigns benefits to 2 organizations

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
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000339PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eye Care Optometrist CurrentSince Jan 1, 2003 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Jun 28, 2024 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.

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

Verify at the official NPI Registry.