Ryan Yaffe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010679 Issued in IL

Practice address

1730 W Fullerton Ave
Chicago, IL 60614-1900

Phone

(773) 327-3000

NPI assigned

Apr 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Six Corners Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1629899141
  NPD

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1043654403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAFFE",
        "first_name": "RYAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010679",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Yadav, APN
• Himani Yadav, DDS
• Neha Yadav, MD
• Priyank Yadav
• Mir Ashad Ali Yadullahi, M.D
• Amr Yafi, M.D.
• Haifa Yagan, MD
• Jamie L Yager, LSW
• Dina Yaghmai, M.D.
• Vahid Yaghmai, MD

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.