Individual provider Active NPI

Ryan William Yealy, O.D.

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1528298593
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002273 Issued in PA
Practice address
244 N Queen St
Lancaster, PA 17603-3512
Phone
(717) 735-0746
Fax
(717) 291-9183
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002273 PA Primary

Addresses

Primary practice location

244 N Queen St
Lancaster, PA 17603-3512

Mailing address

244 N Queen St
Lancaster, PA 17603-3512
Phone (717) 735-0746

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
I20131024001397 PA Practitioner - Optometry 1456586692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yealy Eye East York, LLCGroup PAC ID 9537553862, 3 clinicians
Yealy Eye LLCGroup PAC ID 0749507754, 6 clinicians
Yealy Eye Centerville LLCGroup PAC ID 3375911944, 6 clinicians

Practice addresses (Care Compare)

2161 E Market St
York, PA 17402-2848
Phone (717) 885-0726

244 N Queen St
Lancaster, PA 17603-3512

244 N Queen St FL
2 Yealy Eye Care of Lancaster
Lancaster, PA 17603-3512
Phone (717) 735-0746

576 Centerville Rd
Lancaster, PA 17601-1306
Phone (717) 455-3746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yealy Eye, LLC Optometrist CurrentSince Mar 12, 2015 Accepting new patients
Yealy Eye East York, LLC Optometrist CurrentSince Mar 1, 2022 Accepting new patients
Yealy Eye Centerville LLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Delaware Valley Vision Associates Group Practice, LLC PastSince Oct 1, 2022 Accepting new patients
Sandford C. Frisch, MD Past Accepting new patients
Sandford C Frisch MD Past Accepting new patients

Locations

1567 Fruitville Pike
Ste 2
Lancaster, PA 17601
Phone (717) 356-3440

244 N Queen St
Lancaster, PA 17603
Phone (717) 291-5951

576 Centerville Rd
Lancaster, PA 17601
Phone (717) 201-3238

244 N Queen St
Fl 2
Lancaster, PA 17603
Phone (717) 735-0746

2161 E Market St
York, PA 17402
Phone (717) 757-3474

Organizations & group practices 6

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1528298593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N QUEEN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033512",
            "telephone_number": "717-735-0746",
            "fax_number": "717-291-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N QUEEN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033512",
            "telephone_number": "717-735-0746",
            "fax_number": "717-291-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEALY",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.