Individual provider Active NPI

Thomas Eugene Whitlatch, O. D.

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1972512168
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000034 Issued in PA
Practice address
2262 Old Philadelphia Pike
Lancaster, PA 17602-3417
Phone
(717) 394-0108
Fax
(717) 394-4729
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

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 OEG000034 PA Primary

Addresses

Primary practice location

2262 Old Philadelphia Pike
Lancaster, PA 17602-3417

Mailing address

2262 Old Philadelphia Pike
Lancaster, PA 17602-3417
Phone (717) 394-0108

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
I20051028000072 PA Practitioner - Optometry 2860419983 Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972512168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 OLD PHILADELPHIA PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023417",
            "telephone_number": "717-394-0108",
            "fax_number": "717-394-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 OLD PHILADELPHIA PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023417",
            "telephone_number": "717-394-0108",
            "fax_number": "717-394-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLATCH",
        "first_name": "THOMAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.