Individual provider Active NPI

Kathleen Yang, O.D.

  • Optometrist
  • Midwest City, OK
National Provider Identifier
1013263326
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2762 Issued in OK
Practice address
8121 National Ave
Suite 409
Midwest City, OK 73110-7530
Phone
(405) 737-8935
Fax
(405) 737-8934
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2762 OK Primary

Addresses

Primary practice location

8121 National Ave
Suite 409
Midwest City, OK 73110-7530

Mailing address

8121 National Ave
Suite 409
Midwest City, OK 73110-7530
Phone (405) 737-8935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20130820000637 OK Practitioner - Optometry 8426290586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest City Eye Care Associates PLLCGroup PAC ID 6800101981, 2 clinicians

Practice addresses (Care Compare)

8121 National Ave
Suite 409
Midwest City, OK 73110-7572
Phone (405) 737-8935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2762OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest City Eye Care Associates PLLC Optometrist CurrentSince Aug 31, 2015 Accepting new patients

Locations

8121 National Ave
Ste 409
Oklahoma City, OK 73110
Phone (405) 737-8935

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1013263326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "SUITE 409",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-737-8935",
            "fax_number": "405-737-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "SUITE 409",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-737-8935",
            "fax_number": "405-737-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.