Mark Bimen Yeghiazarian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34021TLG Issued in CA

Practice address

12925 El Camino Real Ste Aa3
San Diego, CA 92130-1891

Phone

(858) 633-0772

NPI assigned

Jul 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• Lisa M. Weiss, O.D. Optometric Corp

  • Vision Therapy Optometrist
  • El Cajon, CA
  • NPI 1588790273
  Medicare reassignment NPD
• Strata Oncology, Inc.

  • Clinical Medical Laboratory
  • Ann Arbor, MI
  • NPI 1790320380
  NPD
• John C Pack, O.D. and Beverly Bianes, O.D. Inc

  • Optometrist
  • Chula Vista, CA
  • NPI 1255396461
  NPD (past)
• Michael a Goldsmid, O.D., an Optometric Corporation

  dba Arena Eyeworks Optometry

  • Corneal and Contact Management Optometrist
  • San Diego, CA
  • NPI 1851617567
  NPD (past)
• Mira Mesa Optometry, Inc

  • Optometrist
  • San Diego, CA
  • NPI 1265895221
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  dba Total Vision Care Advanced Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1356829691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12925 EL CAMINO REAL STE AA3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301891",
            "telephone_number": "858-633-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12925 EL CAMINO REAL STE AA3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301891",
            "telephone_number": "858-633-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7850 Broadway",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919451801",
            "country_code": "US",
            "telephone_number": "619-697-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEGHIAZARIAN",
        "first_name": "MARK",
        "middle_name": "BIMEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34021TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia H Yee, MD
• Mel Aaron T Yee, RN
• Natalie Yee, M.D.
• Simon M Yee, MA
• Stanford Y. Yee, MD
• Lanipua Aloha Lana Yeh-Hauer, N.P.
• Brenda S Yeh, O.D.
• Connie Yeh, PHARMD
• Elyssa Mari Yeh, BCBA
• Fonda Yeh, APCC

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.