Louis Leon Yardley Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2570 Issued in FL

Practice address

16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531

Phone

(850) 308-5730

Fax

(850) 650-2053

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1962424770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY UNIT 115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418531",
            "telephone_number": "850-308-5730",
            "fax_number": "850-650-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY UNIT 115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418531",
            "telephone_number": "850-308-5730",
            "fax_number": "850-650-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARDLEY",
        "first_name": "LOUIS",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2570",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wilson, PA-C
• Ryan Winters, PTA
• Sarah Wiseman, LMT
• Women'S Health of the Emerald Coast LLC
• Stephanie Worley, DPT, PT
• Harry Yeates, MD
• Kimberly S Yon-Davis, LCSW
• Maria Gabrielle Young, MSW
• David L. Zielinski, MD
• Luz Zondlo, LMHC

• Optometrist in Destin, FL
• Providers in Destin, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.