Individual provider Active NPI

Esther S Yang, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1265841100
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003217 Issued in GA
Practice address
1110 W Peachtree St NW Ste 860
Atlanta, GA 30309-3609
Phone
(678) 538-1968
Fax
(678) 331-5268
NPI assigned
Aug 5, 2014
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5026 MA
Optometrist 152W00000X OPT003217 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW Ste 860
Atlanta, GA 30309-3609

Mailing address

1110 W Peachtree St NW Ste 860
Atlanta, GA 30309-3609
Phone (678) 538-1968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161202000241 MA Practitioner - Optometry 1153648191 Reassigns benefits to 1 organization
I20201231001870 GA Practitioner - Optometry 1153648191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for the Visually ImpairedGroup PAC ID 8527009034, 9 clinicians

Practice addresses (Care Compare)

739 W Peachtree St NW
Atlanta, GA 30308-1137
Phone (404) 875-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003217GAMDOptometrist
5026MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist CurrentSince Jan 27, 2021 Accepting new patients
Center for the Visually Impaired CurrentSince Sep 30, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 8, 2016 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 8, 2016 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Jan 27, 2021 Accepting new patients

Locations

1110 W Peachtree St NW
Ste 860
Atlanta, GA 30309
Phone (678) 538-1968

2852 Lavista Rd
Ste 5
Decatur, GA 30033
Phone (770) 809-3368

3975 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (770) 717-1191

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

1120 Peachtree Industrial Blvd
Ste 101
Suwanee, GA 30024
Phone (770) 809-3366

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
Fl 5
Boston, MA 02215
Phone (617) 667-2900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1265841100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "678-538-1968",
            "fax_number": "678-331-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "678-538-1968",
            "fax_number": "678-331-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ESTHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5026",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.