Organization Active NPI

Dr. John P.S. Yu, O.D., P.a. and Associates

  • Optometrist
  • Beaumont, TX
National Provider Identifier
1366580524
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4172TG Issued in TX
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

Updated by the provider on Oct 10, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0098DGOtherBLUE CROSS BLUE SHIELD

Other names 1

  • Today's Vision - Beaumont Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.