Organization
KIRN FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE WHITE KIRN O.D. M.S. (PRESIDENT)
(717) 657-5030
Entity
Organization
Contact information
Practice address
2151 LINGLESTOWN RD, SUITE 210, HARRISBURG, PA 17110-9499
(717) 657-5030
Mailing address
2151 LINGLESTOWN RD, SUITE 210, HARRISBURG, PA 17110-9499
(717) 657-5030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000766 PA
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01220701
KEYSTONE HEALTH PLAN
PA
01
—
02123201
KEYSTONE HEALTH PLAN
PA
01
—
36920
DAVIS VISION
PA
01
—
369530
NATIONAL VISION ADMINISTR
PA
01
—
DA784868
OPTICHOICE
PA
Enumeration date
03/15/2007
Last updated
02/03/2010
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