James Allen Yandell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1396 Issued in TN

Practice address

1411 W Morris Blvd
Morristown, TN 37813-2828

Phone

(423) 587-3474

Fax

(423) 587-8735

NPI assigned

Oct 3, 2006

Sex

Male

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 5

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Five Rivers Eyecare PLLCGroup PAC ID 9234383340, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Five Rivers Eyecare PLLC

  • Optometrist
  • Morristown, TN
  • NPI 1578807269
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Care Centers PLLC

  • Optometrist
  • Kingston, TN
  • NPI 1558488262
  NPD (past)
• Eye Care Centers PLLC

  • Ophthalmology Physician
  • Harriman, TN
  • NPI 1700946480

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1881788032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440425",
            "telephone_number": "423-638-4151",
            "fax_number": "423-639-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132828",
            "telephone_number": "423-587-3474",
            "fax_number": "423-587-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANDELL",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN",
            "identifier": "702006494",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "3137807",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100022785",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3137807",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00332301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Paul Wright
• Kirsten Wright, PT, DPT
• Jarrett Wyatt, PHARM.D.
• Brittany Diana Wylie
• Wenjia Xu, MD
• Frederick R. Yarid, M.D.
• Tammy Yeary, OT
• Angela Young
• Anna Marie Joy Young
• Catherine L Young, LPC-MHSP

• Optometrist in Morristown, TN
• Providers in Morristown, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.