Individual provider Active NPI

Jimmy Yuan, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1336792332
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9502 Issued in TX
Practice address
4825 Davis LN Apt 538
Austin, TX 78749-4556
Phone
(832) 403-7437
NPI assigned
Jul 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9502 TX Primary

Addresses

Primary practice location

4825 Davis LN Apt 538
Austin, TX 78749-4556

Mailing address

4825 Davis LN Apt 538
Austin, TX 78749-4556
Phone (832) 403-7437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230921000578 TX Practitioner - Optometry 0345694618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leander Eye Care PCGroup PAC ID 0042349391, 5 clinicians

Practice addresses (Care Compare)

107 Sheila Dr
Leander, TX 78641-1419
Phone (512) 259-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leander Eye Care PC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Gregg E Kamnetz O.D., P.C. Optometrist CurrentSince Jun 9, 2023 Accepting new patients
Vision Center of Texas, PA Past Accepting new patients

Locations

2712 Bee Caves Rd
Ste 118
Austin, TX 78746
Phone (512) 327-3605

107 Sheila Dr
Leander, TX 78641
Phone (512) 259-8484

Organizations & group practices 3

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1336792332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 DAVIS LN APT 538",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494556",
            "telephone_number": "832-403-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 DAVIS LN APT 538",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494556",
            "telephone_number": "832-403-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "JIMMY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.