David Paul Yaniglos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3319T710 Issued in OH

Practice address

518 West Ave
Tallmadge, OH 44278-2117

Phone

(330) 630-9699

Fax

(330) 633-7165

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Spectera

  • Eyewear Supplier
  • Fairlawn, OH
  • NPI 1003832122
  NPD (past)
• Spectera

  • Eyewear Supplier
  • Maple Heights, OH
  • NPI 1295751303
  NPD (past)
• Spectera

  • Eyewear Supplier
  • Elyria, OH
  • NPI 1518983584
  NPD (past)
• Spectera

  • Eyewear Supplier
  • Strongsville, OH
  • NPI 1558387662
  NPD (past)
• Spectera

  • Eyewear Supplier
  • University Heights, OH
  • NPI 1568488690
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1972520450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782117",
            "telephone_number": "330-630-9699",
            "fax_number": "330-633-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782117",
            "telephone_number": "330-630-9699",
            "fax_number": "330-633-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANIGLOS",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3319T710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000724230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Woods
• Christina Woofter, M.D.
• Denise M Wray, PH.D.
• Johnathan Wyatt
• Helen Xanthopoulos, P.T.
• Perry Ward Younger, M.D.
• Tracey Zabka, OTR/L
• Nisrine Zahir, M.D.
• Aubrey Zalar
• Robert R Zimmerman, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.