Brendon Patrick Yaroch, OD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chippewa Falls, WI
NPI 1194456533 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1194456533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 509 E South Ave
Chippewa Falls, WI 54729-3402 - Phone
- (715) 726-9077
- NPI assigned
- Jun 17, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardinal Family Eye Care LLC
Practice addresses (Care Compare)
509 E S Ave
Chippewa Falls, WI 54729-3402
Phone (715) 726-9077
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819001381 | WI | Practitioner - Optometry | 5991188211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Family Eye Care LLC | Current |
Accepting new patients | |
| Cardinal Family Eye Care LLC | Current |
Accepting new patients |
Locations
509 E South Ave
Chippewa Fls, WI 54729
Phone (715) 726-9077
201 E Hill St
Thorp, WI 54771
Phone (715) 669-5631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
509 E South Ave
Chippewa Falls, WI 54729-3402
Mailing address
630 Saxonwood Rd
Altoona, WI 54720-2753
Phone (517) 375-5297
Other providers in Chippewa Falls, WI
- Angela Rose Woelpern
- Lane A Woldum
- Renee Marie Wolfe
- Wolftever Healthcare, LLC
- Timothy John Wolter
- Susan Yetter
- Ethan James Young
- Kaylee Anne Young
- Stacie R. Zais
- Holly Zanchetti
All providers in Chippewa Falls, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.