Individual
DR. JOHN ANDREW YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1132
NE
152W00000X
Optometrist
1778
CO
152W00000X
Optometrist
Primary
2005022668
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025306800
—
NE
05
—
317375905
—
MO
Enumeration date
08/06/2006
Last updated
02/11/2022
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