Active NPI
Yolanda Bastaich O.D.
- Optometrist
- Mt Pleasant, PA
National Provider Identifier
1861710410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE008327T
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U77385 | Other | PA | UPIN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Mt Pleasant, PA
- NPI 1821181892
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.