Individual provider Active NPI

Lauren Walls Yao, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1053978734
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2597 Issued in NC
Practice address
1212 Parkside Main St
Cary, NC 27519-6951
Phone
(919) 883-9987
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2597 NC Primary

Addresses

Primary practice location

1212 Parkside Main St
Cary, NC 27519-6951

Mailing address

6012 Wild Orchid TRL
Raleigh, NC 27613-8555
Phone (828) 458-3968

Other practice location 1

1125 W Nc Highway 54 Ste 315
Durham, NC 27707-5717
Phone (919) 808-5449

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
2597NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1053978734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 WILD ORCHID TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138555",
            "telephone_number": "828-458-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PARKSIDE MAIN ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196951",
            "telephone_number": "919-883-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 W Nc Highway 54 Ste 315",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277075717",
            "country_code": "US",
            "telephone_number": "919-808-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAO",
        "first_name": "LAUREN",
        "middle_name": "WALLS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.