MRS. NATALIA GORDILLO YEALY (NPI# 1093804080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093804080 |
| Entity Type | Individual |
| Full Name | MRS. NATALIA GORDILLO YEALY |
| Other Name | NATALIA GORDILLO |
| Credential | O.D. |
| Practice Address |
360 Saint Charles Way York PA 17402-4647 |
| Mailing Address |
3687 Wingfield Dr York PA 17406-6670 |
| Practice Telephone | 7177572020 |
| Mailing Telephone | 7865125469 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002732 | PA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OPC 4281 | FL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2833 | CO | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1826DT | KY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OD00004063 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12201642 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 244 N Queen St, Lancaster, PA 176033512 | 7177350746 |
| Street Address |
360 SAINT CHARLES WAY |
| City | YORK |
| State | PA |
| Zip Code | 17402-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292851 | Christianne Schoedel | Ophthalmology | 360 Saint Charles Way, York, PA 17402-4647 | 2005-08-10 |
| 1972590305 | Begona Aristimuno | Ophthalmology | 360 Saint Charles Way, York, PA 17402-4647 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1043870272 | Jessica Taylor | Optometrist | 351 Loucks Rd Ste B3, York, PA 17404-1782 | 2019-06-19 |
| 1477098622 | Myeyedr. Optometry of Pennsylvania, LLC | Optometrist | 665 Town Center Dr, York, PA 17408-4804 | 2016-12-27 |
| 1588019434 | Melissa Sue Smith | Optometrist | 1880 Kenneth Rd Ste 1, York, PA 17408-6344 | 2016-04-28 |
| 1972997856 | Wyntre Brooke Eye Associates, Inc. | Optometrist | 10 Wyntre Brooke Dr, York, PA 17403-4535 | 2015-03-27 |
| 1013204619 | Colleen Mary Rae-jenkins | Optometrist | 25 Monument Rd Ste 297, York, PA 17403-5049 | 2011-07-01 |
| 1295990653 | Lauren Goldberg | Optometrist | 2899 Whiteford Rd Ste 148, York, PA 17402-8914 | 2008-07-25 |
| 1295918233 | York Family Eyecare | Optometrist | 764 Us Route 1, York, ME 03909-5883 | 2007-12-13 |
| 1003016304 | John Mark Snyder | Optometrist | 1945 Queenswood Drive, York, PA 17403-4254 | 2007-07-24 |
| 1588866214 | Melvin Elliott Lubart | Optometrist | 6250 W Manchester Mall, York, PA 17404-4607 | 2007-06-04 |
| Find all providers in YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.