Organization Active NPI

Lori a. Yeagle OD, LLC

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1225451586
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4856 Issued in OH
Legal business name
LORI A. YEAGLE OD, LLC
Practice address
6000 Glenway Ave
Cincinnati, OH 45211-6318
Phone
(513) 662-8777
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Lori Yeagle
Title
OD
Phone
(513) 257-6067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4856 OH Primary

Addresses

Primary practice location

6000 Glenway Ave
Cincinnati, OH 45211-6318

Mailing address

6339 Penny LN
Liberty TWP, OH 45044-9148
Phone (513) 257-6067

National Provider Directory

National Provider Directory

Locations

6000 Glenway Ave
Cincinnati, OH 45211
Phone (513) 389-4368

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1225451586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 PENNY LN",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450449148",
            "telephone_number": "513-257-6067",
            "fax_number": "513-662-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116318",
            "telephone_number": "513-662-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI A. YEAGLE OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "YEAGLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "513-257-6067"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.