Organization Active NPI

Diane L Yu-Davis PA

  • Optometrist
  • Austin, TX
National Provider Identifier
1144598350
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7703T Issued in TX
Legal business name
DIANE L YU-DAVIS PA
Practice address
6406 N Ih 35
Suite 1250
Austin, TX 78752-4352
Phone
(512) 454-4401
Fax
(512) 458-4018
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Diane L Yu-Davis, O.D.NPI 1144206079
Title
President
Phone
(512) 454-4401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7703T TX Primary

Addresses

Primary practice location

6406 N Ih 35
Suite 1250
Austin, TX 78752-4352

Mailing address

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

Other names 1

  • VISION SOURCE LINCOLN VILLAGE Doing business as

National Provider Directory

National Provider Directory

Locations

4631 Airport Blvd
Ste 110B
Austin, TX 78751

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1144598350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 N IH 35",
            "address_2": "SUITE 1250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524352",
            "telephone_number": "512-454-4401",
            "fax_number": "512-458-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 N IH 35",
            "address_2": "SUITE 1250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524352",
            "telephone_number": "512-454-4401",
            "fax_number": "512-458-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE L YU-DAVIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "YU-DAVIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-454-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7703T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION SOURCE LINCOLN VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.