Individual provider Active NPI

Bobi Yang, OD

  • Optometrist
  • Salisbury, NC
National Provider Identifier
1295556538
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2511 Issued in SC
Practice address
156 Stafford Estates Dr
Salisbury, NC 28146-0513
Phone
(980) 234-9168
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2511 SC Primary

Addresses

Primary practice location

156 Stafford Estates Dr
Salisbury, NC 28146-0513

Mailing address

156 Stafford Estates Dr
Salisbury, NC 28146-0513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250326000120 SC Practitioner - Optometry 3971026402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vision Center at Seaside FarmsGroup PAC ID 2163576927, 3 clinicians

Practice addresses (Care Compare)

1296 Long Grove Dr
Mount Pleasant, SC 29464-9462
Phone (843) 388-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2511SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Vision Center at Seaside Farms Optometrist CurrentSince Apr 23, 2025 Accepting new patients

Locations

1296 Long Grove Dr
Mt Pleasant, SC 29464
Phone (843) 388-6200

Organizations & group practices 2

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1295556538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 STAFFORD ESTATES DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281460513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 STAFFORD ESTATES DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281460513",
            "telephone_number": "980-234-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "BOBI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.