Individual provider Active NPI

Andrew Yim, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1043095094
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10956T Issued in TX
Practice address
5614 E Sam Houston Pkwy N
Houston, TX 77015-3249
Phone
(714) 678-8288
NPI assigned
Aug 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10956T TX Primary

Addresses

Primary practice location

5614 E Sam Houston Pkwy N
Houston, TX 77015-3249

Mailing address

2855 Gramercy St Ste 400
Houston, TX 77025-1756

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.yim@houstoneye.direct.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230914002036 TX Practitioner - Optometry 4688038227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Optic PLLCGroup PAC ID 2163524133, 13 clinicians

Practice addresses (Care Compare)

5614 E Sam Houston Pkwy N
Houston, TX 77015-3249
Phone (713) 678-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Optic PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Houston Optic PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Houston Optic, PLLC Optometrist Current Accepting new patients

Locations

2855 Gramercy St
Ste 400
Houston, TX 77025

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

5614 E Sam Houston Pkwy N
Houston, TX 77015
Phone (713) 678-8288

590 Chimney Rock Rd
Houston, TX 77056
Phone (713) 782-4406

1331 W Grand Pkwy N
Ste 120
Katy, TX 77493
Phone (281) 347-0176

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: andrew.yim@houstoneye.direct.eyemdemr.com

Organizations & group practices 3

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1043095094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 E SAM HOUSTON PKWY N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153249",
            "telephone_number": "714-678-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10956T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.yim@houstoneye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5614 E Sam Houston Pkwy N",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770153249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.