Individual
MR. ANDREW D. YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1424 E FRONT ST, DEHAVEN EYE CLINIC, PA, TYLER, TX 75702-8501
(903) 595-4144
(903) 526-5491
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8712T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348374501
—
TX
05
—
348374502
—
TX
01
—
705193
MEDICARE
TX
01
—
P01547886
PALMETTO GBA
TX
01
—
P02098791
MEDICARE RAIL ROAD
TX
Enumeration date
05/07/2015
Last updated
11/06/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us