Active NPI
Calvin Butler Yates, O.D.
- Optometrist
- Merrillville, IN
National Provider Identifier
1093739971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001647A
- Practice address
- 141 E 61St Ave
Merrillville, IN 46410-3013 - Phone
- (219) 981-8890
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001647A | IN | Primary |
Addresses
Primary practice location
141 E 61St Ave
Merrillville, IN 46410-3013
Mailing address
141 E 61St Ave
Merrillville, IN 46410-3013
Phone (219) 981-8890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080223000053 | IN | Practitioner - Optometry | 0345324729 | Practice locations: Merrillville, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001647A | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1093739971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 61ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464103013",
"telephone_number": "219-981-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 61ST AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464103013",
"telephone_number": "219-981-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "CALVIN",
"middle_name": "BUTLER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001647A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.