Individual provider Active NPI

Jessica Ann Yannelli, O.D.

  • Optometrist
  • Downingtown, PA
National Provider Identifier
1316223845
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002494 Issued in PA
Practice address
5033 Horseshoe Pike
Downingtown, PA 19335-1923
Phone
(610) 518-2195
Fax
(610) 518-2196
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002494 PA Primary

Addresses

Primary practice location

5033 Horseshoe Pike
Downingtown, PA 19335-1923

Mailing address

5033 Horseshoe Pike
Downingtown, PA 19335-1923
Phone (610) 518-2195

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
I20120917000484 PA Practitioner - Optometry 2668620642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5033 Horseshoe Pike
Downingtown, PA 19335-1923
Phone (610) 518-2195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002494PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pec West Chester Corp Optometrist Current Accepting new patients
Precision Eye Care Optometrist CurrentSince Dec 1, 2014 Accepting new patients

Locations

38 W Lancaster Ave
Downingtown, PA 19335
Phone (610) 269-8066

5033 Horseshoe Pike
Downingtown, PA 19335
Phone (610) 518-2195

Organizations & group practices 2

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": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1316223845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 HORSESHOE PIKE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351923",
            "telephone_number": "610-518-2195",
            "fax_number": "610-518-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 HORSESHOE PIKE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351923",
            "telephone_number": "610-518-2195",
            "fax_number": "610-518-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNELLI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.