Provider Demographics
NPI:1790031920
Name:YODER, ARI T (OD)
Entity Type:Individual
Prefix:DR
First Name:ARI
Middle Name:T
Last Name:YODER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2668 DELLWORTH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4627
Mailing Address - Country:US
Mailing Address - Phone:330-204-6314
Mailing Address - Fax:
Practice Address - Street 1:232 FACTORY ST. NE
Practice Address - Street 2:
Practice Address - City:SUGARCREEK
Practice Address - State:OH
Practice Address - Zip Code:44681
Practice Address - Country:US
Practice Address - Phone:330-852-2512
Practice Address - Fax:330-852-7602
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6171152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist