Individual provider Active NPI

Yancy Carl York, OD

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1437121928
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-196TA-881 Issued in AL
Practice address
210 Bob Wallace Ave SW
Huntsville, AL 35801-3809
Phone
(256) 539-3454
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1170 OK
Optometrist 152W00000X R-196TA-881 AL Primary

Addresses

Primary practice location

210 Bob Wallace Ave SW
Huntsville, AL 35801-3809

Mailing address

PO Box 207243
Dallas, TX 75320-7243
Phone (636) 200-4393

Other practice location 1

7880 Old Madison Pike
Madison, AL 35758-1435
Phone (256) 772-8711

Other practice location 2

7105 Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone (256) 883-9082

Other practice location 3

2349 Danville Rd SW Ste 410
Decatur, AL 35603-4285
Phone (256) 353-2392

Other practice location 4

600 Washington St NW
Huntsville, AL 35801-4751
Phone (256) 533-6838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200128001885 AL Practitioner - Optometry 2466614490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

210 Bob Wallace Ave SW
Huntsville, AL 35801-3809
Phone (256) 539-3454

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1170OKMDPsychologist
R-196TA-881ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Dec 17, 2019 Accepting new patients
Eyecare Associates, Inc. CurrentSince Dec 17, 2019 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

2349 Danville Rd SW
Ste 410
Decatur, AL 35603
Phone (256) 353-2392

7105 Bailey Creek Cir SE
Huntsville, AL 35802
Phone (256) 772-8711

210 Bob Wallace Ave SW
Huntsville, AL 35801
Phone (256) 539-3454

9056 Memorial Pkwy SW
Bldg E
Huntsville, AL 35802
Phone (256) 678-7966

600 Washington St NW
Huntsville, AL 35801
Phone (256) 533-6838

21 Hughes Rd
Ste 1
Madison, AL 35758
Phone (256) 678-7990

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

Interoperability endpoints

  • Direct secure messaging: yancyyork@direct.eyecare-partners.com

Organizations & group practices 4

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1437121928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207243",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BOB WALLACE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013809",
            "telephone_number": "256-539-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7880 Old Madison Pike",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357581435",
            "country_code": "US",
            "telephone_number": "256-772-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7105 Bailey Creek Cir SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358022797",
            "country_code": "US",
            "telephone_number": "256-883-9082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2349 Danville Rd SW Ste 410",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356034285",
            "country_code": "US",
            "telephone_number": "256-353-2392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Washington St NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014751",
            "country_code": "US",
            "telephone_number": "256-533-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "YANCY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1170",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-196TA-881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.