Individual provider Active NPI

Jin Yang, OD, PHD

  • Optometrist
  • Apollo Beach, FL
National Provider Identifier
1073379012
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6511 Issued in FL
Practice address
6424 N US Highway 41
Apollo Beach, FL 33572-1803
Phone
(813) 280-0685
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6511 FL Primary

Addresses

Primary practice location

6424 N US Highway 41
Apollo Beach, FL 33572-1803

Mailing address

15633 Starling Water Dr
Lithia, FL 33547-3925
Phone (305) 877-0231

Other practice location 1

1460 NE 123rd St Fl 33161
North Miami, FL 33161-6025
Phone (305) 891-0331

Other practice location 2

1695 N Broadway Ave
Bartow, FL 33830-3102
Phone (863) 534-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241203003147 FL Practitioner - Optometry 9830624626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

1695 N Broadway Ave
Bartow, FL 33830-3102
Phone (863) 534-2020

6424 N US Hwy 41
Apollo Beach, FL 33572-1803
Phone (813) 280-0685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Nov 20, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Nov 20, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

6424 N US Highway 41
Apollo Beach, FL 33572
Phone (813) 223-4007

1695 N Broadway Ave
Bartow, FL 33830
Phone (863) 534-2020

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

4337 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-2700

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

2301 Wilton Dr
Ste C1
Wilton Manors, FL 33305
Phone (954) 764-6906

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1073379012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15633 STARLING WATER DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473925",
            "telephone_number": "305-877-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 N US HIGHWAY 41",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721803",
            "telephone_number": "813-280-0685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 NE 123rd St Fl 33161",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331616025",
            "country_code": "US",
            "telephone_number": "305-891-0331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338303102",
            "country_code": "US",
            "telephone_number": "863-534-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JIN",
        "credential": "OD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.