Individual provider Active NPI

Arkady Yatskevich, OD

  • Optometrist
  • Dover, DE
National Provider Identifier
1215027917
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13-00001304 Issued in DE
Practice address
820 Walker Rd
Dover, DE 19904-2727
Phone
(302) 678-3545
Fax
(302) 734-3115
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13-00001304 DE Primary

Addresses

Primary practice location

820 Walker Rd
Dover, DE 19904-2727

Mailing address

820 Walker Rd
Dover, DE 19904-2727
Phone (302) 678-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20060111001198 DE Practitioner - Optometry 8628091014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

820 Walker Rd
Vision Quest Eye Care Center
Dover, DE 19904-2727
Phone (302) 239-1933

912 N Union St
Wilmington, DE 19805-5326
Phone (302) 239-1933

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-00001304DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Dec 1, 2019 Accepting new patients

Locations

820 Walker Rd
Dover, DE 19904
Phone (302) 678-3545

820 Walker Rd
Ste C
Dover, DE 19904
Phone (302) 678-3545

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1215027917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042727",
            "telephone_number": "302-678-3545",
            "fax_number": "302-734-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042727",
            "telephone_number": "302-678-3545",
            "fax_number": "302-734-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSKEVICH",
        "first_name": "ARKADY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "13-00001304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.