Active NPI
Dr Elliott Yolles PSC
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
National Provider Identifier
1104002815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DR ELLIOTT YOLLES PSC
- Practice address
- 2020 W 86TH St
Suite 104
Indianapolis, IN 46260-1931 - Phone
- (317) 872-8772
- Fax
- (317) 872-2383
- NPI assigned
- Jan 11, 2008
- Last updated
- May 3, 2010
- Organization subpart
- Yes
- Parent organization
- DR. ELLIOTT YOLLES PSC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elliott A Yolles, M.D.
- Title
- Owner/Physician
- Phone
- (317) 872-8772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01025241A | IN | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2020 W 86TH St
Suite 104
Indianapolis, IN 46260-1931
Mailing address
2020 W 86TH St
Suite 104
Indianapolis, IN 46260-1931
Phone (317) 872-8772
National Provider Directory
National Provider Directory- Part of
- Elliott a Yolles MD
Locations
2020 W 86th St
Ste 104
Indianapolis, IN 46260
Phone (317) 585-9295
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1326038654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272844800000",
"number": "1104002815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"address_2": "SUITE 104",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601931",
"telephone_number": "317-872-8772",
"fax_number": "317-872-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"address_2": "SUITE 104",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601931",
"telephone_number": "317-872-8772",
"fax_number": "317-872-2383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR ELLIOTT YOLLES PSC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DR. ELLIOTT YOLLES PSC",
"enumeration_date": "2008-01-11",
"last_updated": "2010-05-03",
"status": "A",
"authorized_official_last_name": "YOLLES",
"authorized_official_first_name": "ELLIOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "317-872-8772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "01025241A",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.