Natalia Gordillo Yealy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002732 Issued in PA

Practice address

360 Saint Charles Way
York, PA 17402-4647

Phone

(717) 757-2020

NPI assigned

Oct 11, 2006

Last updated

May 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Natalia Gordillo Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yealy Eye, LLC

  dba Yealy Eye Care and Dry Eye Center of Lancaster

  • Optometrist
  • Lancaster, PA
  • NPI 1700276656
  Medicare reassignment NPD Authorized official
• Yealy Eye Centerville LLC

  dba Yealy Eye Care & Dry Eye Center of Lancaster

  • Optometrist
  • Lancaster, PA
  • NPI 1891443057
  Medicare reassignment NPD
• Yealy Eye East York, LLC

  dba Yealy Eye Care & Dry Eye Center of York

  • Optometrist
  • York, PA
  • NPI 1215695994
  Medicare reassignment NPD
• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1093804080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 WINGFIELD DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174066670",
            "telephone_number": "786-512-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024647",
            "telephone_number": "717-757-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 N Queen St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176033512",
            "country_code": "US",
            "telephone_number": "717-735-0746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEALY",
        "first_name": "NATALIA",
        "middle_name": "GORDILLO",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4281",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1826DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004063",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2833",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12201642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIA",
            "last_name": "GORDILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nihad Yasmin, MD
• Umme Salma Yasmin, MD
• Brooklyn B Yates, LCSW
• Shekoufeh Yazdani, MD
• Yealy Eye East York, LLC (Yealy Eye Care & Dry Eye Center of York)
• Shawyin Yee-Armah, M.D.
• James Yeh, MD
• Thomas W. Yeich, M.D.
• Victoria Yellamaty, MD
• Sudhakar Reddy Yennam, MD

• Optometrist in York, PA
• Providers in York, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.

Verify at the official NPI Registry.