Yun Bo Tian

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

260363 Issued in NC

Practice address

2351 Erwin Rd
Durham, NC 27705-4699

Phone

(919) 681-3937

Fax

(614) 663-4555

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Duke University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Street Provider Network IncGroup PAC ID 5193742948, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.tian.p1@direct.inlandeyespecialists.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jtian256011@direct.medicine.duke.edu

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.

• Madison Street Provider Network Inc

  dba Omni Eye Specialists

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1699768663
  Medicare reassignment Care Compare group NPD
• Total Vision Eye Care Group LLC

  dba ICON Eyecare

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1316109481
  Medicare reassignment NPD (past)
• Madison Street Provider Network Inc

  dba Omni Eye Specialists

  • Ophthalmology Physician
  • Brighton, CO
  • NPI 1750988994
  NPD
• Total Vision Eye Care Group LLC

  • Ophthalmology Physician
  • Basalt, CO
  • NPI 1568248243
  NPD
• Total Vision Eye Care Group, LLC

  dba ICON EyeCare

  • Ophthalmology Physician
  • Grand Junction, CO
  • NPI 1487257499
  NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1235792268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MERRION AVE APT 113",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-681-3937",
            "fax_number": "614-663-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIAN",
        "first_name": "YUN BO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NC",
            "license": "260363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Through Faith Counseling
• Ashley Inez Thrower
• Siddhant Thukral
• Robert Timothy Thurman, MD
• Katherine Thygesen, M.S., CCC-SLP
• Joshua Andrew Tiegreen, PH.D.
• Tiffany Houck-Loomis
• Jennifer Lynn Tighe de Soto, MD
• Robert Matthew Tighe, M.D.
• Geanda Tilley

• Cornea and External Diseases Specialist Physician in Durham, NC
• Providers in Durham, NC by specialty
• Cornea and External Diseases Specialist Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.

Verify at the official NPI Registry.