Organization Active NPI

Yorkgitis & Grieneisen PC

  • Optometrist
  • Carlisle, PA
National Provider Identifier
1326250945
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0EG000411 Issued in PA
Legal business name
YORKGITIS & GRIENEISEN PC
Practice address
25 State Ave
Carlisle, PA 17013-4420
Phone
(717) 249-4948
Fax
(717) 249-0558
NPI assigned
May 4, 2007
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mrs. Deb L McClintock, CPOT
Title
Office MGR
Phone
(717) 249-4948

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0EG000411 PA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0EG000260 PA

Addresses

Primary practice location

25 State Ave
Carlisle, PA 17013-4420

Mailing address

25 State Ave
Carlisle, PA 17013-4420
Phone (717) 249-4948

Other identifiers 2

IdentifierTypeStateIssuer
410007529OtherPARAILROAD MEDICARE
410043638OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

25 State Ave
Carlisle, PA 17013
Phone (717) 220-8980

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1326250945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134420",
            "telephone_number": "717-249-4948",
            "fax_number": "717-249-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STATE AVE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134420",
            "telephone_number": "717-249-4948",
            "fax_number": "717-249-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKGITIS & GRIENEISEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "717-249-4948",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPOT"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000411",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410007529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410043638",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.