Healthcare Provider Details

I. General information

NPI: 1700831609
Provider Name (Legal Business Name): WHITING FAMILY VISION CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 MERCER NEW WILMINGTON RD STE 3
NEW WILMINGTON PA
16142-2027
US

IV. Provider business mailing address

2055 MERCER NEW WILMINGTON RD STE 3
NEW WILMINGTON PA
16142-2027
US

V. Phone/Fax

Practice location:
  • Phone: 724-946-2620
  • Fax: 724-946-2622
Mailing address:
  • Phone: 724-946-2620
  • Fax: 724-946-2622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG 001658
License Number StatePA

VIII. Authorized Official

Name: DR. ABBY LEIGH WHITING
Title or Position: OWNER
Credential: O.D.
Phone: 724-946-2620