Individual provider Active NPI

Kathryn L Yorke, OD

  • Optometrist
  • College Station, TX
National Provider Identifier
1023047644
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2905TG Issued in TX
Practice address
2551 Texas Ave S Ste B
College Station, TX 77840-5080
Phone
(979) 764-0669
Fax
(979) 694-1940
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2905TG TX Primary

Addresses

Primary practice location

2551 Texas Ave S Ste B
College Station, TX 77840-5080

Mailing address

2551 Texas Ave S Ste B
College Station, TX 77840-5080
Phone (979) 764-0669

Other identifiers 2

IdentifierTypeStateIssuer
80553QOtherTXBLUE CROSS BLUE SHIELD
27-3508879OtherTXTAX ID

Other names 1

  • Kathryn Yorke Sneed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2905TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Vision Center PC PastSince Jan 1, 2003 Accepting new patients

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1023047644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 TEXAS AVE S STE B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405080",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 TEXAS AVE S STE B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405080",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORKE",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2905TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80553Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-3508879",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "YORKE SNEED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.