Individual provider Active NPI

Katherine Elizabeth Whalen, MD

  • Ophthalmology Physician
  • East Lyme, CT
National Provider Identifier
1932466992
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD458482 Issued in PA
Practice address
339 Flanders Rd Ste 109
East Lyme, CT 06333-1731
Phone
(860) 739-4811
Fax
(860) 739-8151
NPI assigned
Apr 16, 2012
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD458482 PA Primary

Addresses

Primary practice location

339 Flanders Rd Ste 109
East Lyme, CT 06333-1731

Mailing address

339 Flanders Rd Ste 109
East Lyme, CT 06333-1731
Phone (860) 739-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717002469 CT Practitioner - Ophthalmology 8820392376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwich Ophthalmology Group PCGroup PAC ID 8820062508, 6 clinicians

Practice addresses (Care Compare)

79 Wawecus St
Suite 105
Norwich, CT 06360-2173
Phone (860) 886-0161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Ophthalmology Group, P.C. Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Norwich Ophthalmology Group, P.C. Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Norwich Ophthalmology Optical Past Accepting new patients

Locations

489 Route 184
Ste 100
Groton, CT 06340
Phone (860) 445-2461

79 Wawecus St
Ste 105
Norwich, CT 06360
Phone (860) 866-0161

140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1932466992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 FLANDERS RD STE 109",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331731",
            "telephone_number": "860-739-4811",
            "fax_number": "860-739-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FLANDERS RD STE 109",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331731",
            "telephone_number": "860-739-4811",
            "fax_number": "860-739-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD458482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

Verify at the official NPI Registry.