Forest Hills Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

PAOEG000504 Issued in PA

Legal business name

FOREST HILLS EYE CARE, INC.

Doing business as

Andrew Yourich, O.D.

Practice address

409 Locust Street
Suite 1
Sidman, PA 15955-0312

Phone

(814) 487-6428

Fax

(814) 487-6429

NPI assigned

Feb 2, 2015

Last updated

Jun 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Yourich, O.D.NPI 1720200249

Title

Ceo

Phone

(814) 242-6958

Specialties & licenses 1

Addresses

Other names 1

• Andrew Yourich, O.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Yourich, OD

  • Optometrist
  • Indiana, PA
  • NPI 1720200249
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1942690771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "address_2": "409 LOCUST STREET, SUITE 1",
            "city": "SIDMAN",
            "state": "PA",
            "postal_code": "159550312",
            "telephone_number": "814-487-6428",
            "fax_number": "814-487-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LOCUST STREET",
            "address_2": "SUITE 1",
            "city": "SIDMAN",
            "state": "PA",
            "postal_code": "159550312",
            "telephone_number": "814-487-6428",
            "fax_number": "814-487-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "YOURICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-242-6958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PAOEG000504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew Yourich, O.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andrew Yourich, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• J Eric Wieczorek, MD

• Optometrist in Sidman, PA
• Providers in Sidman, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.