Individual provider Active NPI

Janell R. Yzeik, O.D.

  • Optometrist
  • Waymart, PA
National Provider Identifier
1477524775
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000843 Issued in PA
Practice address
25 Brookside Rd
Waymart, PA 18472-9352
Phone
(570) 488-7400
Fax
(570) 488-7403
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000843 PA Primary

Addresses

Primary practice location

25 Brookside Rd
Waymart, PA 18472-9352

Mailing address

25 Brookside Rd
Waymart, PA 18472-9352
Phone (570) 488-7400

Other identifiers 9

IdentifierTypeStateIssuer
0014401920003MedicaidPA
410025979OtherPARAILROAD MEDICARE
PA7628OtherPAVISION BENEFITS OF AMERIC
TE518839OtherPAPA BC/BS
078420OtherPAFIRST PRIORITY HEALTH
26255OtherPAGEISINGER HEALTH PLAN
42075OtherPADAVIS VISION
397341OtherPANATIONAL VISION ADMINISTR
912359OtherPAEYEMED/COLE

Other names 1

  • Janell R Yzeik Other name

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
I20120104000680 PA Practitioner - Optometry 6507079423 Practice locations: Waymart, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Brookside Rd
Waymart, PA 18472-9352
Phone (570) 488-7400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000843PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1477524775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BROOKSIDE RD",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729352",
            "telephone_number": "570-488-7400",
            "fax_number": "570-488-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BROOKSIDE RD",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729352",
            "telephone_number": "570-488-7400",
            "fax_number": "570-488-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YZEIK",
        "first_name": "JANELL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014401920003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410025979",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "PA7628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BC/BS",
            "identifier": "TE518839",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "078420",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "26255",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "42075",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "397341",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED/COLE",
            "identifier": "912359",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELL",
            "last_name": "YZEIK",
            "middle_name": "R",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waymart, PA

Sources for this page

Verify at the official NPI Registry.