Individual provider Active NPI

Terry Yu, OD

  • Optometrist
  • Ventura, CA
National Provider Identifier
1346737467
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33907TLG Issued in CA
Practice address
3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone
(805) 648-3085
Fax
(805) 648-7027
NPI assigned
Apr 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 946 NV
Optometrist 152W00000X 33907TLG CA Primary

Addresses

Primary practice location

3085 Loma Vista Rd
Ventura, CA 93003-2916

Mailing address

3085 Loma Vista Rd
Ventura, CA 93003-2916
Phone (805) 648-3085

Other practice location 1

6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9125

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address t.yu@direct.mesmg.com Health Information Exchange (HIE) MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180920003245 CA Practitioner - Optometry 3072864602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miramar Eye Specialists Medical Group IncGroup PAC ID 5698662823, 26 clinicians

Practice addresses (Care Compare)

957 Faulkner Rd
Suite 102
Santa Paula, CA 93060-9126
Phone (805) 525-1737

Merit-based Incentive Payment System (MIPS)

Final score
88.24 of 100Reported as group
Quality
86.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33907TLGCAMDOptometrist
33907CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miramar Eye Specialists Medical Group, Inc Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

751 E Daily Dr
Ste 110
Camarillo, CA 93010
Phone (805) 987-8705

1901 Solar Dr
Ste 155
Oxnard, CA 93036
Phone (805) 278-0057

957 Faulkner Rd
Ste 102
Santa Paula, CA 93060
Phone (805) 525-1737

2230 Lynn Rd
Ste 102
Thousand Oaks, CA 91360
Phone (805) 495-0458

3085 Loma Vista Rd
Ventura, CA 93003
Phone (805) 583-3950

3003 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 648-3081

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: r.wolfe@direct.mesmg.com
  • Direct secure messaging: t.yu@direct.mesmg.com

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": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1346737467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 N Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890864400",
            "country_code": "US",
            "telephone_number": "702-791-9125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "TERRY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "946",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33907TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "t.yu@direct.mesmg.com",
            "affiliation": "Y",
            "affiliationName": "MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3085 Loma Vista Rd",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930032916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.