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NPI Code Detail

MEDICARE: MORGAN YANDELL OD

MEDICARE:   MORGAN  YANDELL  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2152W00000XOptometrist2871AR

General Provider Information

NPI Number : 1366127318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN YANDELL OD
Provider Business Mailing Address
First Line : PO BOX 1307
Second Line :
City : CABOT
State : AR
Zip : 72023-1307
Country : US
Telephone Number : 501-259-2035
Fax Number :
Provider Business Practice Location Address
First Line : 7901 DALLAS ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4281
Country : US
Telephone Number : 479-782-8892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 05/21/2025

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Directions to “ MORGAN YANDELL OD” Practice Location

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