Yolanda A. Bastaich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE-008327-T Issued in PA

Practice address

Wal-Mart Vision Center
900 Summit Ridge Plaza
Mt. Pleasant, PA 15666

Phone

(724) 542-9792

Fax

(724) 542-9793

NPI assigned

Oct 2, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yolanda Bastaich O.D.

  • Optometrist
  • Mt Pleasant, PA
  • NPI 1861710410
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821181892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LINCOLN AVE.",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "15022",
            "telephone_number": "724-518-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAL-MART VISION CENTER",
            "address_2": "900 SUMMIT RIDGE PLAZA",
            "city": "MT. PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-542-9792",
            "fax_number": "724-542-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTAICH",
        "first_name": "YOLANDA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-008327-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "52381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "35034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BA673704",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "27730",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "08345",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "251841812",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "001788218",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788218",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aster Assefa, MD, PC
• Gregory Bailey, RPH
• Angel B Balcita Jr., MD
• Murat Bankaci, M.D.
• Amanda Marie Barbour, MS, OTR/L
• Danielle Beaken, RN
• Emily Bednar
• Alicia Nicole Bell, PT
• Jarrett J Bender, DO
• Maret Elizabeth Bernard, PA-C

• Optometrist in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.