Active NPI
J E Yarbrough, O.D.
- Optometrist
- Laurens, SC
National Provider Identifier
1407945082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 529
- Practice address
- 1010 W Main St
Laurens, SC 29360-2608 - Phone
- (864) 984-6504
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 529 | SC | Primary |
Addresses
Primary practice location
1010 W Main St
Laurens, SC 29360-2608
Mailing address
1010 W Main St
Laurens, SC 29360-2608
Phone (864) 984-6504
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410001743 | Other | SC | RAIL ROAD MEDICARE ID |
| D05297 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529 | SC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E. Yarbrough, OD PA | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e69c2bef-d9f0-4b8f-8ad3-47f8715149b1/
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.
-
dba Laurens Vision and Contact Lens Center
- Optometrist
- Laurens, SC
- NPI 1568642965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1407945082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W MAIN ST",
"city": "LAURENS",
"state": "SC",
"postal_code": "293602608",
"telephone_number": "864-984-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W MAIN ST",
"city": "LAURENS",
"state": "SC",
"postal_code": "293602608",
"telephone_number": "864-984-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBROUGH",
"first_name": "J",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE ID",
"identifier": "410001743",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D05297",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.