Isadore John Youshak

Primary specialty

OptometristTaxonomy code 152W00000X

License

2777T980 Issued in OH

Legal business name

ISADORE JOHN YOUSHAK

Practice address

15795 W High St
Middlefield, OH 44062-9294

Phone

(440) 632-0194

NPI assigned

Jul 9, 2008

Last updated

Jul 9, 2008By 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. Isadore J Youshak, O.D.NPI 1295848133

Title

Optometrist

Phone

(440) 632-0194

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Isadore John Youshak, OD

  • Optometrist
  • Middlefield, OH
  • NPI 1295848133
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1962665935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15795 W HIGH ST",
            "address_2": "PO BOX 276",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629294",
            "telephone_number": "440-632-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15795 W HIGH ST",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629294",
            "telephone_number": "440-632-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISADORE JOHN YOUSHAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "YOUSHAK",
        "authorized_official_first_name": "ISADORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-632-0194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2777T980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hopewell
• Daniel B. Horne, PCC-S, LSW
• Alison E Hoskin
• Andrea Hulls, PT, DPT
• Shannon Intelisano
• Brian Jacobs
• Jon J Floriano, MD, LLC
• Sylvia K Jurcak, OTR/L
• Edward Kamensky, RPH
• Richard Robert Karges, LISW-S

• Optometrist in Middlefield, OH
• Providers in Middlefield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.