Organization Active NPI

Mikyung Yun OD,PC

  • Optometrist
  • Winfield, IL
National Provider Identifier
1366672479
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009764 Issued in IL
Legal business name
MIKYUNG YUN OD,PC
Practice address
27W753 Hodges Way
Winfield, IL 60190-1727
Phone
(630) 606-1618
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mikyung Yun, O.D.
Title
President
Phone
(630) 606-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009764 IL Primary

Addresses

Primary practice location

27W753 Hodges Way
Winfield, IL 60190-1727

Mailing address

27W753 Hodges Way
Winfield, IL 60190-1727
Phone (630) 606-1618

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1366672479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W753 HODGES WAY",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901727",
            "telephone_number": "630-606-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W753 HODGES WAY",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901727",
            "telephone_number": "630-606-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKYUNG YUN OD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "MIKYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-606-1618",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.