Active NPI
Janell R. Yzeik, O.D.
- Optometrist
- Waymart, PA
National Provider Identifier
1477524775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000843
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014401920003 | Medicaid | PA | |
| 410025979 | Other | PA | RAILROAD MEDICARE |
| PA7628 | Other | PA | VISION BENEFITS OF AMERIC |
| TE518839 | Other | PA | PA BC/BS |
| 078420 | Other | PA | FIRST PRIORITY HEALTH |
| 26255 | Other | PA | GEISINGER HEALTH PLAN |
| 42075 | Other | PA | DAVIS VISION |
| 397341 | Other | PA | NATIONAL VISION ADMINISTR |
| 912359 | Other | PA | EYEMED/COLE |
Other names 1
- Janell R Yzeik
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000843 | PA | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.