Provider Demographics
NPI:1043249709
Name:JOHN A. YUHAS, M.D., P.C.
Entity Type:Organization
Organization Name:JOHN A. YUHAS, M.D., P.C.
Other - Org Name:REGIONAL EYE CENTER, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:YUHAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-781-3630
Mailing Address - Street 1:1531 W 32ND ST
Mailing Address - Street 2:STE102
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1611
Mailing Address - Country:US
Mailing Address - Phone:417-781-3630
Mailing Address - Fax:417-624-9704
Practice Address - Street 1:1531 W 32ND ST
Practice Address - Street 2:STE102
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1611
Practice Address - Country:US
Practice Address - Phone:417-781-3630
Practice Address - Fax:417-624-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO502754617Medicaid
KS0000110653OtherBC/BS PITTSBURG LOCATION
KS0000031517OtherBC/BS JOPLIN LOCATION
MOC50382Medicare PIN
MO990001564Medicare PIN
MOCP0138Medicare PIN
KS0000110653OtherBC/BS PITTSBURG LOCATION
MO502754617Medicaid
KSCJ3108Medicare PIN
MO000011467Medicare PIN