Active NPI
Andrew Yourich, OD
- Optometrist
- Indiana, PA
National Provider Identifier
1720200249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PA0EG000504
- Practice address
- 3100 Oakland Avenue
Indiana, PA 15701 - Phone
- (724) 349-5671
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PA0EG000504 | PA | Primary |
Addresses
Primary practice location
3100 Oakland Avenue
Indiana, PA 15701
Mailing address
PO Box 155
St Michael, PA 15951
Phone (814) 495-4413
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015971180004 | Medicaid | PA | |
| 53067 | Other | PA | DAVIS VISION |
| 893031 | Other | PA | BLUE CROSS BLUE SHIELD CL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0EG000504 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Hills Eye Care, Inc. | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
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": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1720200249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "ST MICHAEL",
"state": "PA",
"postal_code": "15951",
"telephone_number": "814-495-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OAKLAND AVENUE",
"city": "INDIANA",
"state": "PA",
"postal_code": "15701",
"telephone_number": "724-349-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOURICH",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "PA0EG000504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015971180004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "53067",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD CL",
"identifier": "893031",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.