Individual provider Active NPI

Stephanie Yarnell, OD

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1457856445
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33936TLG Issued in CA
Practice address
910 Eastlake Pkwy
Chula Vista, CA 91914-3558
Phone
(619) 210-1169
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33936TLG CA Primary

Addresses

Primary practice location

910 Eastlake Pkwy
Chula Vista, CA 91914-3558

Mailing address

910 Eastlake Pkwy
Chula Vista, CA 91914-3558
Phone (619) 210-1169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230526000996 CA Practitioner - Optometry 7315304813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33936TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastlake Optometry Inc. Current Accepting new patients

Locations

910 Eastlake Pkwy
Chula Vista, CA 91914
Phone (619) 210-1169

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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1457856445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 EASTLAKE PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143558",
            "telephone_number": "619-210-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 EASTLAKE PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143558",
            "telephone_number": "619-210-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNELL",
        "first_name": "STEPHANIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33936TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.