Provider Demographics
NPI:1194273656
Name:WHITLING EYE CO.
Entity type:Organization
Organization Name:WHITLING EYE CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:WHITLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-450-4066
Mailing Address - Street 1:400 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-1002
Mailing Address - Country:US
Mailing Address - Phone:814-450-4066
Mailing Address - Fax:814-849-0861
Practice Address - Street 1:21920 ROUTE 119
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-7975
Practice Address - Country:US
Practice Address - Phone:814-938-9100
Practice Address - Fax:814-938-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty