Healthcare Provider Details

I. General information

NPI: 1912780131
Provider Name (Legal Business Name): HARVATINE EYECARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 LYCOMING CREEK RD
WILLIAMSPORT PA
17701-1523
US

IV. Provider business mailing address

1730 BRISTOL AVE APT 802
STATE COLLEGE PA
16801-3018
US

V. Phone/Fax

Practice location:
  • Phone: 570-323-1111
  • Fax:
Mailing address:
  • Phone: 231-580-1102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE HARVATINE
Title or Position: PRESIDENT
Credential: OD
Phone: 231-580-1102