Individual provider Active NPI

John Michael Yancho, O.D.

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1609905603
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002501 Issued in MI
Practice address
4900 Fashion Square Mall
Saginaw, MI 48604-2706
Phone
(989) 799-1184
Fax
(989) 791-1918
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002501 MI Primary

Addresses

Primary practice location

4900 Fashion Square Mall
Saginaw, MI 48604-2706

Mailing address

12773 W Ridge Cir
Freeland, MI 48623-9554
Phone (989) 695-6869

Other identifiers 1

IdentifierTypeStateIssuer
912345OtherMIEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100206000147 MI Practitioner - Optometry 2264575604 Reassigns benefits to 1 organization
Practice locations: Saginaw, MI; Flint, MI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Vision IncGroup PAC ID 9931257110, 41 clinicians

Practice addresses (Care Compare)

7207 Eastman Ave
Midland, MI 48642-7402
Phone (989) 488-1866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Sep 13, 2019 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Sep 13, 2019 Accepting new patients

Locations

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

7207 Eastman Ave
Midland, MI 48642
Phone (989) 488-1866

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

3371 Tittabawassee Rd
Unit 150
Saginaw, MI 48604
Phone (989) 791-1044

Organizations & group practices 2

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1609905603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12773 W RIDGE CIR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239554",
            "telephone_number": "989-695-6869",
            "fax_number": "989-791-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 FASHION SQUARE MALL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042706",
            "telephone_number": "989-799-1184",
            "fax_number": "989-791-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "912345",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.