Brendon Patrick Yaroch, OD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

509 E South Ave
Chippewa Falls, WI 54729-3402

Phone

(715) 726-9077

NPI assigned

Jun 17, 2022

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

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 LLCGroup PAC ID 7012006760, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Cardinal Family Eye Care LLC

  • Optometrist
  • Thorp, WI
  • NPI 1083808802
  Medicare reassignment Care Compare group NPD
• Cardinal Family Eye Care LLC

  dba New Vista EyeCare

  • Optometrist
  • Chippewa Falls, WI
  • NPI 1699969410
  NPD

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1194456533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SAXONWOOD RD",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202753",
            "telephone_number": "517-375-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E SOUTH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293402",
            "telephone_number": "715-726-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROCH",
        "first_name": "BRENDON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rose Woelpern, PMHNP
• Lane A Woldum, MD
• Renee Marie Wolfe, LPN
• Wolftever Healthcare, LLC (Rutledge Home)
• Timothy John Wolter, MD
• Susan Yetter
• Kaylee Anne Young, DMD
• Stacie R. Zais, NP
• Holly Zanchetti, APNP, FNP
• Christine Zanocco, RDH

• Student in an Organized Health Care Education/Training Program in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.