Provider Demographics
NPI:1316950348
Name:HARVATINE, KATHERINE TERESE (OD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:TERESE
Last Name:HARVATINE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 LYCOMING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1523
Mailing Address - Country:US
Mailing Address - Phone:570-323-1111
Mailing Address - Fax:570-323-8805
Practice Address - Street 1:1363 N ATHERTON ST
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2932
Practice Address - Country:US
Practice Address - Phone:814-238-2862
Practice Address - Fax:814-237-1851
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007039152W00000X
PAOEG002182152W00000X
PAOEG002181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB1705Medicare PIN
NYRB1703Medicare PIN
NYRB1706Medicare PIN
NYRB1704Medicare PIN