Active NPI
Dr. John P.S. Yu, O.D., P.a. and Associates
- Optometrist
- Beaumont, TX
National Provider Identifier
1366580524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4172TG
- Legal business name
- DR. JOHN P.S. YU, O.D., P.A. AND ASSOCIATES
- Practice address
- 4159 Dowlen Rd
Beaumont, TX 77706-6852 - Phone
- (409) 899-4449
- Fax
- (409) 899-1136
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessyca Smith
- Title
- Office Manager
- Phone
- (409) 899-4449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4172TG | TX | Primary |
Addresses
Primary practice location
4159 Dowlen Rd
Beaumont, TX 77706-6852
Mailing address
4159 Dowlen Rd
Beaumont, TX 77706-6852
Phone (409) 899-4449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098DG | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Today's Vision - Beaumont
National Provider Directory
National Provider DirectoryLocations
4145 Dowlen Rd
#P
Beaumont, TX 77706
Phone (409) 899-4449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1366580524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4159 DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066852",
"telephone_number": "409-899-4449",
"fax_number": "409-899-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4159 DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066852",
"telephone_number": "409-899-4449",
"fax_number": "409-899-1136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOHN P.S. YU, O.D., P.A. AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JESSYCA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "409-899-4449"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "4172TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0098DG",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Today's Vision - Beaumont",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.