Individual provider Active NPI

Yanna K Nachtigall, O.D.

  • Optometrist
  • York, PA
National Provider Identifier
1194794974
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001539 Issued in PA
Practice address
2700 Eastern Blvd
York, PA 17402-2906
Phone
(717) 757-7023
Fax
(717) 747-0123
NPI assigned
Mar 15, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001539 PA Primary

Addresses

Primary practice location

2700 Eastern Blvd
York, PA 17402-2906

Mailing address

2700 Eastern Blvd
York, PA 17402-2906
Phone (717) 757-7023

Other identifiers 3

IdentifierTypeStateIssuer
0165770002OtherPADMERC REGION D
1640779OtherPABLUE SHIELD
50057686OtherPABLUE CROSS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041109000407 PA Practitioner - Optometry 4284697475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OEG001539PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kissel Village Eye Care CurrentSince May 5, 2021 Accepting new patients
Low Vision Optometry of Central Pennsylvania, LLC CurrentSince May 1, 2022 Accepting new patients
Dennis R Delp Optometrist Past Accepting new patients
Eyes of York Cataract & Laser Center PC Past Accepting new patients

Locations

1170 Erbs Quarry Rd
Ste 4
Lititz, PA 17543
Phone (717) 625-4989

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1194794974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022906",
            "telephone_number": "717-757-7023",
            "fax_number": "717-747-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022906",
            "telephone_number": "717-757-7023",
            "fax_number": "717-747-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHTIGALL",
        "first_name": "YANNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION D",
            "identifier": "0165770002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1640779",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50057686",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.