Organization Active NPI

Yolanda Bastaich O.D.

  • Optometrist
  • Mt Pleasant, PA
National Provider Identifier
1861710410
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE008327T Issued in PA
Legal business name
YOLANDA BASTAICH O.D.
Practice address
2100 Summit Ridge PLZ
Walmart Vision Center
Mt Pleasant, PA 15666-1992
Phone
(724) 542-9792
Fax
(724) 542-9793
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Yolanda A Bastaich, O.D.NPI 1821181892
Title
Optometrist
Phone
(724) 518-6263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OE008327T PA Primary

Addresses

Primary practice location

2100 Summit Ridge PLZ
Walmart Vision Center
Mt Pleasant, PA 15666-1992

Mailing address

104 Lincoln Ave
Charleroi, PA 15022-1432
Phone (724) 518-6263

Other identifiers 1

IdentifierTypeStateIssuer
U77385OtherPAUPIN

National Provider Directory

National Provider Directory

Locations

2100 Summit Ridge Plz
Mt Pleasant, PA 15666
Phone (724) 542-0374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1861710410",
    "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": "150221432",
            "telephone_number": "724-518-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SUMMIT RIDGE PLZ",
            "address_2": "WALMART VISION CENTER",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661992",
            "telephone_number": "724-542-9792",
            "fax_number": "724-542-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA BASTAICH O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BASTAICH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "724-518-6263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008327T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U77385",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.