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NPI Code Detail

MEDICARE: YEALY EYE EAST YORK, LLC

MEDICARE: YEALY EYE EAST YORK, LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1215695994
Entity Type Code : Organization
Provider Name (Legal Business Name) : YEALY EYE EAST YORK, LLC
Provider Business Mailing Address
First Line : 244 N QUEEN ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2161 E MARKET ST
Second Line :
City : YORK
State : PA
Zip : 17402-2848
Country : US
Telephone Number : 302-727-1384
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MICHAEL A KERNISKY
Credential :
Telephone Number : 717-201-3238
Provider Enumeration Date : 11/30/2021
Last Update Date : 12/13/2021

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Directions to “YEALY EYE EAST YORK, LLC ” Practice Location

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