Organization
YOLANDA BASTAICH O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA A BASTAICH O.D. (OPTOMETRIST)
(724) 518-6263
Entity
Organization
Contact information
Practice address
2100 SUMMIT RIDGE PLZ, WALMART VISION CENTER, MT PLEASANT, PA 15666-1992
(724) 542-9792
(724) 542-9793
Mailing address
104 LINCOLN AVE, CHARLEROI, PA 15022-1432
(724) 518-6263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE008327T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U77385
UPIN
PA
Enumeration date
05/06/2010
Last updated
05/06/2010
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