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:
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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 1:231 N LOGAN BLVD
Practice Address - Street 2:WISE EYES OPTICAL
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1813
Practice Address - Country:US
Practice Address - Phone:717-248-8103
Practice Address - Fax:717-242-3490
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002182152W00000X
NYTUV007039152W00000X
PAOEG002181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB1705Medicare PIN
NYRB1703Medicare PIN
NYRB1706Medicare PIN
NYRB1704Medicare PIN