Active NPI
Jennifer Jiayun Zhang Yoo, OD
- Vision Therapy Optometrist
- Newport Beach, CA
National Provider Identifier
1164095220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 35139TLG
- Practice address
- 901 Dover Dr Ste 100
Newport Beach, CA 92660-5514 - Phone
- (949) 642-0292
- NPI assigned
- Jul 19, 2021
- 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 |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 35139TLG | CA | Primary |
| Optometrist | 152W00000X | 35139TLG | CA |
Addresses
Primary practice location
901 Dover Dr Ste 100
Newport Beach, CA 92660-5514
Mailing address
901 Dover Dr Ste 100
Newport Beach, CA 92660-5514
Phone (949) 642-0292
Other practice location 1
14929 Shady Grove Rd Unit K
Rockville, MD 20850-7728
Phone (301) 424-1050
Other names 1
- Dr. Jennifer Jiayun Zhang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917004843 | CA | Practitioner - Optometry | 9234526450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35139 | CA | MD | General Practice Dentistry |
| 35139TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appelbaum Eyecare Associates | Vision Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vision Therapy Optometrist
- Bethesda, MD
- NPI 1679971014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1164095220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 DOVER DR STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605514",
"telephone_number": "949-642-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DOVER DR STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605514",
"telephone_number": "949-642-0292"
}
],
"practiceLocations": [
{
"address_1": "14929 Shady Grove Rd Unit K",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208507728",
"country_code": "US",
"telephone_number": "301-424-1050",
"fax_number": "301-424-3184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHANG YOO",
"first_name": "JENNIFER",
"middle_name": "JIAYUN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "35139TLG",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35139TLG",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ZHANG",
"middle_name": "JIAYUN",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.