Individual provider Active NPI

Thuy Ngoc Yath, OD

  • Optometrist
  • Anthem, AZ
National Provider Identifier
1114278637
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001881 Issued in AZ
Practice address
42104 N Venture Dr Ste E100
Anthem, AZ 85086-3823
Phone
(623) 253-0393
Fax
(623) 301-9544
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001881 AZ Primary

Addresses

Primary practice location

42104 N Venture Dr Ste E100
Anthem, AZ 85086-3823

Mailing address

42104 N Venture Dr Ste E100
Anthem, AZ 85086-3823
Phone (623) 253-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150916003516 AZ Practitioner - Optometry 7517274970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42104 N Venture Dr
Suite E101
Anthem, AZ 85086-3840
Phone (623) 253-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001881AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A to Z Eyecare Anthem, LLC Optometrist CurrentSince Jun 25, 2023 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Aug 6, 2018 Accepting new patients
Dr. Mark L. Jaffe Optometrist Past Accepting new patients

Locations

4205 W Anthem Way
Ste 101
Anthem, AZ 85086
Phone (623) 879-3937

42104 N Venture Dr
Ste E100
Anthem, AZ 85086
Phone (623) 253-0393

3900 W Ray Rd
Ste 1
Chandler, AZ 85226
Phone (480) 820-9880

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

3592 S Atherton Blvd
Ste 111
Gilbert, AZ 85297
Phone (480) 580-6671

6666 W Peoria Ave
Ste 109
Glendale, AZ 85302
Phone (602) 979-8876

6666 W Peoria Ave
#108109
Glendale, AZ 85302
Phone (623) 979-8876

6666 W Peoria Ave
Ste 108
Glendale, AZ 85302
Phone (623) 979-8876

6666 W Peoria Ave
Ste 108109
Glendale, AZ 85302
Phone (623) 979-8876

6666 W Peoria Ave
Glendale, AZ 85302
Phone (623) 878-6000

42104 N Venture Dr
Ste E101
Phoenix, AZ 85086
Phone (623) 551-9100

9336 E Raintree Dr
Ste 140
Scottsdale, AZ 85260
Phone (480) 614-0055

307 E Southern Ave
Tempe, AZ 85282
Phone (480) 967-4801

Interoperability endpoints

  • Direct secure messaging: tyath@bettervision.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1114278637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE E100",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863823",
            "telephone_number": "623-253-0393",
            "fax_number": "623-301-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE E100",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863823",
            "telephone_number": "623-253-0393",
            "fax_number": "623-301-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATH",
        "first_name": "THUY",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "001881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.