Active NPI
Linda Yan, OD
- Optometrist
- Davie, FL
National Provider Identifier
1053969410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPFC95
- Practice address
- 3200 S University Dr
Davie, FL 33328-2018 - Phone
- (954) 262-4235
- Fax
- (954) 262-3904
- NPI assigned
- Aug 29, 2019
- Last updated
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPFC95 | FL | Primary |
Addresses
Primary practice location
3200 S University Dr
Davie, FL 33328-2018
Mailing address
PO Box 290370
Davie, FL 33329-0370
Phone (954) 262-4397
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPFC95 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1053969410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290370",
"city": "DAVIE",
"state": "FL",
"postal_code": "333290370",
"telephone_number": "954-262-4397",
"fax_number": "954-262-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "954-262-4235",
"fax_number": "954-262-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "LINDA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPFC95",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.