DR. ROBERT HOWARD WHITLOCK (O.D.) – Optometrist, NPI 1104904416

DR. ROBERT HOWARD WHITLOCK (O.D.) is a healthcare provider. based in Mechanicsburg, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG000262 (PA). The NPI Number for DR. ROBERT HOWARD WHITLOCK (O.D.) is 1104904416

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT HOWARD WHITLOCK (O.D.)
NPI
1104904416
Phone
(717) 796-9371
Address
5017 WOODBOX LN
Enumeration Date
2 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7176374944
Graduation Year
1990 (36 years ago)
PAC ID
8224192935
Group Practice PAC ID
9032491246
Professional Enrollment ID
I20090126000034
Address ID
PA173311121HA1000XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

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Provider Addresses for DR. ROBERT HOWARD WHITLOCK (O.D.)

  • 5017 WOODBOX LN

    MECHANICSBURG, PA 170554856

    Phone: (717) 796-9371

    Type: Mailing

  • Jonestown Road, Harrisburg, Dauphin County, Pennsylvania, 17103, United States

    HARRISBURG, PA 171122921

    Phone: (717) 657-0803

    Fax: (717) 526-9808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090126000034IOptometryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2121$0
92250Photography of the retina1313$0
View full utilization report →

Insurance plans in this area (ZIP 17055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032491246View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YMI
-PA
O P T O M E T R YMN
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMN
O P T O M E T R YIL
O P T O M E T R YMI
O P T O M E T R YMN

Reviews

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Frequently asked questions

What is DR. ROBERT HOWARD WHITLOCK (O.D.)'s NPI number?
DR. ROBERT HOWARD WHITLOCK (O.D.)'s NPI is 1104904416 — the number used across U.S. healthcare to identify this provider.
Is DR. ROBERT HOWARD WHITLOCK (O.D.) shown as active in public data?
Registry records indicate DR. ROBERT HOWARD WHITLOCK (O.D.) maintains an active NPI.
What area of care is associated with DR. ROBERT HOWARD WHITLOCK (O.D.)?
DR. ROBERT HOWARD WHITLOCK (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT HOWARD WHITLOCK (O.D.) located near Mechanicsburg?
DR. ROBERT HOWARD WHITLOCK (O.D.) currently maps to Mechanicsburg, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for DR. ROBERT HOWARD WHITLOCK (O.D.) is noted as November 2, 2006 where the registry provides it.

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