Individual
DR. JAMES JOSEPH WHITELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1013 WAYNE AVE, CHAMBERSBURG, PA 17201
(717) 263-2389
(717) 263-0884
Mailing address
19336 LEITERSBURG PIKE, HAGERSTOWN, MD 21742
(717) 263-2389
(717) 263-0884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601002262
VA
152W00000X
Optometrist
Primary
OE006044T
PA
152W00000X
Optometrist
TA0903
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008924180001
—
PA
01
—
410046909
RAILROAD MEDICARE
—
01
—
WH420385
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/26/2006
Last updated
11/27/2017
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