Individual provider Active NPI

Penny Y Yong, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1245368455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1464 Issued in TN
Practice address
7475 Winchester Rd
Memphis, TN 38125-2202
Phone
(901) 754-8282
Fax
(901) 754-6520
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1464 TN Primary

Addresses

Primary practice location

7475 Winchester Rd
Memphis, TN 38125-2202

Mailing address

323 Meadow Trail CV
Cordova, TN 38018-7310
Phone (901) 759-1421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100913000631 TN Practitioner - Optometry 6901921063 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7475 Winchester Rd
Memphis, TN 38125-2202
Phone (901) 754-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1464TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245368455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MEADOW TRAIL CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187310",
            "telephone_number": "901-759-1421",
            "fax_number": "901-754-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252202",
            "telephone_number": "901-754-8282",
            "fax_number": "901-754-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONG",
        "first_name": "PENNY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.