Organization
YACKELS EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MATTHEW YACKELS OD (OPTOMETRIST)
(262) 207-0023
Entity
Organization
Contact information
Practice address
4798 S MOORLAND RD, NEW BERLIN, WI 53151-7486
(262) 207-0023
(262) 465-0708
Mailing address
1221 COBBLESTONE PL, WEST BEND, WI 53095-4585
(262) 207-0023
(262) 465-0708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124792411
NPI
—
01
—
1700927886
NPI
—
Enumeration date
02/06/2023
Last updated
02/06/2023
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