Individual provider Active NPI

Elizabeth Yeung-Farahi, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1194303289
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10168 Issued in TX
Practice address
6701 Burnet Rd Ste C2
Austin, TX 78757-2877
Phone
(512) 596-3834
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10168 TX Primary

Addresses

Primary practice location

6701 Burnet Rd Ste C2
Austin, TX 78757-2877

Mailing address

6701 Burnet Rd Ste C2
Austin, TX 78757-2877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King and Rose Optical, Inc. Optometrist CurrentSince Mar 16, 2021 Accepting new patients

Locations

6701 Burnet Rd
Ste C2
Austin, TX 78757
Phone (512) 596-3834

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1194303289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BURNET RD STE C2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BURNET RD STE C2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572877",
            "telephone_number": "512-596-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG-FARAHI",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2021; 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.