Individual
DR. ANDREW YOURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3100 OAKLAND AVENUE, INDIANA, PA 15701
(724) 349-5671
Mailing address
PO BOX 155, ST MICHAEL, PA 15951
(814) 495-4413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PA0EG000504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015971180004
—
PA
01
—
53067
DAVIS VISION
PA
01
—
893031
BLUE CROSS BLUE SHIELD CL
PA
Enumeration date
05/03/2007
Last updated
06/29/2020
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