Organization Active NPI

Kirn Family Eyecare

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1932233681
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000766 PA Issued in PA
Legal business name
KIRN FAMILY EYECARE
Practice address
2151 Linglestown Rd
Suite 210
Harrisburg, PA 17110-9499
Phone
(717) 657-5030
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Katherine White Kirn, O.D. M.S.
Title
President
Phone
(717) 657-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000766 PA 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 5

IdentifierTypeStateIssuer
02123201OtherPAKEYSTONE HEALTH PLAN
DA784868OtherPAOPTICHOICE
01220701OtherPAKEYSTONE HEALTH PLAN
36920OtherPADAVIS VISION
369530OtherPANATIONAL VISION ADMINISTR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000699 PA Part B Supplier - Clinic/Group Practice 9335138676 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1932233681",
    "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": {
        "organization_name": "KIRN FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "KIRN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-657-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D. M.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000766 PA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "02123201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "DA784868",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "01220701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "36920",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "369530",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.