Individual provider Active NPI

Diane Li-Chuan Yu-Davis, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1144206079
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12381T Issued in CA
Practice address
6406 N I H 35
Suite 1250
Austin, TX 78752-4352
Phone
(512) 454-4401
NPI assigned
Dec 22, 2005
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12381T CA Primary
Optometrist 152W00000X 7703T TX

Addresses

Primary practice location

6406 N I H 35
Suite 1250
Austin, TX 78752-4352

Mailing address

6406 N I H 35
Suite 1250
Austin, TX 78752-4352
Phone (512) 454-4401

Other names 1

  • Diana Lichuan Yu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160209001827 TX Practitioner - Optometry 7618039439 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4631 Airport Blvd
Austin, TX 78751-3441
Phone (512) 454-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Diane L Yu-Davis PA Optometrist PastSince Dec 1, 2015 Accepting new patients
Berg & Florio OD PA Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1144206079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 N I H 35",
            "address_2": "SUITE 1250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524352",
            "telephone_number": "512-454-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 N I H 35",
            "address_2": "SUITE 1250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524352",
            "telephone_number": "512-454-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU-DAVIS",
        "first_name": "DIANE",
        "middle_name": "LI-CHUAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12381T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7703T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "YU",
            "middle_name": "LICHUAN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.