Dr. Brendon Patrick Yaroch, OD
Student in an Organized Health Care Education/Training Program in Chippewa Falls, WI. Individual provider (NPI-1).
NPI number1194456533
StatusActive
Last updated in NPPESJun 17, 2022
Details
- NPI
- 1194456533
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brendon Patrick Yaroch
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
509 E South AveChippewa Falls, WI 54729-3402
Phone 715-726-9077
Mailing address
630 Saxonwood RdAltoona, WI 54720-2753
Phone 517-375-5297
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