Organization
YEALY EYE, LLC
Active
Other names
Yealy Eye Care and Dry Eye Center of Lancaster
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA GORDILLO YEALY OD (OWNER/OPTOMETRIST)
(786) 512-5469
Entity
Organization
Contact information
Practice address
244 N QUEEN ST, 2ND FLOOR, LANCASTER, PA 17603-3512
(717) 735-0746
Mailing address
244 N QUEEN ST, 2ND FLOOR, LANCASTER, PA 17603-3512
(717) 735-0746
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029995600001
—
PA
Enumeration date
01/30/2015
Last updated
03/17/2018
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