Individual provider Active NPI

Lauren Kaye Yovich, OD

  • Optometrist
  • Defiance, OH
National Provider Identifier
1619545357
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006988 Issued in OH
Practice address
283 Stadium Dr
Defiance, OH 43512-4604
Phone
(419) 782-3937
Fax
(419) 782-3930
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006988 OH Primary

Addresses

Primary practice location

283 Stadium Dr
Defiance, OH 43512-4604

Mailing address

283 Stadium Dr
Defiance, OH 43512-4604
Phone (419) 782-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210630003666 OH Practitioner - Optometry 4587065388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brunswick Eye and Contact LensGroup PAC ID 2264587658, 4 clinicians

Practice addresses (Care Compare)

283 Stadium Dr
Defiance, OH 43512-4604
Phone (419) 782-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Eye and Contact Lens Optometrist CurrentSince Jun 28, 2021 Accepting new patients
Pajka Eye Center Inc PastSince Jun 22, 2021 Accepting new patients

Locations

283 Stadium Dr
Defiance, OH 43512
Phone (419) 228-7432

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1619545357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124604",
            "telephone_number": "419-782-3937",
            "fax_number": "419-782-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124604",
            "telephone_number": "419-782-3937",
            "fax_number": "419-782-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOVICH",
        "first_name": "LAUREN",
        "middle_name": "KAYE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.