Organization Active NPI

Christopher Yearego, OD and Associates, PLLC

  • Optometrist
  • Elkins, WV
National Provider Identifier
1811181787
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
902 OD Issued in WV
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0149515000MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.