Lauren Yoon Baltierra, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005161 Issued in MI

Practice address

22750 Allen Rd
Woodhaven, MI 48183-2246

Phone

(734) 676-4300

Fax

(734) 676-5348

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lauren Michelle Yoon Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Myeyedr Optometry of Michigan LLC 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Plainwell, MI
  • NPI 1013592534
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Kalamazoo, MI
  • NPI 1033794540
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Niles, MI
  • NPI 1053996579
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1376128801
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Sturgis, MI
  • NPI 1730764267
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Grandville, MI
  • NPI 1740865237
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Battle Creek, MI
  • NPI 1821673302
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Three Rivers, MI
  • NPI 1821673351
  Care Compare group
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Woodhaven, MI
  • NPI 1982289427
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1003390113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22750 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832246",
            "telephone_number": "734-676-4300",
            "fax_number": "734-676-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTIERRA",
        "first_name": "LAUREN",
        "middle_name": "YOON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "YOON",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• American Current Care of Michigan PC
• Apollo Pharmacy Woodhaven, LLC
• Applewood Nursing Center Inc
• Lisa Kay Astalos Chism, M.S, R.N., C.S.
• Muhammad Atif
• Kaitlin Barazsu, PHARM.D.
• Ryan Barbour
• Virgil John Barbu, DDS
• John Barnes
• Bianca Bartley, MA, TLLP

• All providers in Woodhaven, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.