Active NPI
Christopher Yearego, OD and Associates, PLLC
- Optometrist
- Elkins, WV
National Provider Identifier
1811181787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 902 OD
- Legal business name
- CHRISTOPHER YEAREGO, OD AND ASSOCIATES, PLLC
- Practice address
- 721 Beverly Pike
Elkins, WV 26241-9729 - Phone
- (304) 637-5554
- Fax
- (304) 637-2666
- NPI assigned
- Sep 4, 2007
- Last updated
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Christopher Yearego, O.D.
- Title
- Optometrist
- Phone
- (304) 637-5554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 902 OD | WV | Primary |
Addresses
Primary practice location
721 Beverly Pike
Elkins, WV 26241-9729
Mailing address
721 Beverly Pike
Elkins, WV 26241-9729
Phone (304) 637-5554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149515000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
40 Jett Ln
Elkins, WV 26241
Phone (304) 636-3728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1811181787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 BEVERLY PIKE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262419729",
"telephone_number": "304-637-5554",
"fax_number": "304-637-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 BEVERLY PIKE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262419729",
"telephone_number": "304-637-5554",
"fax_number": "304-637-2666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER YEAREGO, OD AND ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "YEAREGO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "304-637-5554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WV",
"license": "902 OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149515000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.