Carmen Jan Yoo, OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

11663T Issued in CA

Legal business name

CARMEN JAN YOO, OD A PROFESSIONAL CORPORATION

Doing business as

Fullerton Eyes Optometry

Practice address

1319 S Harbor Blvd
Fullerton, CA 92832-3001

Phone

(714) 525-3330

Fax

(714) 525-3334

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Carmen Jan Yoo, O.D.

Title

Ceo

Phone

(714) 525-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fullerton Eyes Optometry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Byoungjae Yoo, O.D

  • Optometrist
  • Anaheim, CA
  • NPI 1417934316
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1063518181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323001",
            "telephone_number": "714-525-3330",
            "fax_number": "714-525-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323001",
            "telephone_number": "714-525-3330",
            "fax_number": "714-525-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN JAN YOO, OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-525-3330",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11663T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fullerton Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl C. Chen, M.D., Inc.
• Anthony Steven Carletello
• Carlos del Campo MD, a Medical Corporation
• Sonia Carlos
• Ronald Gaylord Carlson, PSY D
• Lorren Adrian Carney, ABA
• Karenn Ixchel Caro
• Briana Carr
• Martin Carr, M.D.
• Regail Carr

• Optometrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.