Active NPI
Wing Man Yip, OD
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3539
- Practice address
- 3241 S Michigan Ave
Chicago, IL 60616-4201 - Phone
- (312) 949-7751
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010997 | IL | |
| Optometrist | 152W00000X | 3539 | MN | Primary |
Addresses
Primary practice location
3241 S Michigan Ave
Chicago, IL 60616-4201
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
1544 Greenview Dr SW
Rochester, MN 55902-4322
Phone (507) 287-2711
Other practice location 2
3241 S Michigan Ave
Chicago, IL 60616-4201
Phone (312) 949-7751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3630 11TH Ave NW
Rochester, MN 55901-4276
Phone (507) 288-2457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3539 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectacle Shoppe Inc. | Optometrist | Current | Accepting new patients |
| Rochester Family Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| The Spectacle Shoppe Inc | Optometrist | Current | Accepting new patients |
| Spectacle Shoppe Inc. | Optometrist | Current | Accepting new patients |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
3630 11th Ave NW
Rochester, MN 55901
Phone (507) 288-2457
1089 Grand Ave
Saint Paul, MN 55105
Phone (651) 797-4834
2050 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 636-3434
Organizations & group practices 5
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.
-
- Optometrist
- Rochester, MN
- NPI 1831173335
-
- Optometrist
- New Brighton, MN
- NPI 1588700157
-
- Optometrist
- St Louis Park, MN
- NPI 1568118545
-
- Optometrist
- Saint Paul, MN
- NPI 1912224767
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1114373560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3241 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164201",
"telephone_number": "312-949-7751"
}
],
"practiceLocations": [
{
"address_1": "1544 Greenview Dr SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559024322",
"country_code": "US",
"telephone_number": "507-287-2711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3241 S Michigan Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606164201",
"country_code": "US",
"telephone_number": "312-949-7751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIP",
"first_name": "WING MAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010997",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.