Provider Demographics
NPI:1871764753
Name:YARDLEY COMPANIES INC
Entity type:Organization
Organization Name:YARDLEY COMPANIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:YARDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:435-896-5671
Mailing Address - Street 1:90 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2528
Mailing Address - Country:US
Mailing Address - Phone:435-896-5671
Mailing Address - Fax:435-896-0120
Practice Address - Street 1:90 E CENTER ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2528
Practice Address - Country:US
Practice Address - Phone:435-896-5671
Practice Address - Fax:435-896-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT005631403-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT529296516031Medicaid
UT1269900001Medicare NSC