Individual provider Active NPI

Olave S Yee, OD

  • Optometrist
  • Chino, CA
National Provider Identifier
1376018846
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34131TLG Issued in CA
Practice address
3951 Grand Ave
Chino, CA 91710-5429
Phone
(909) 548-5355
Fax
(909) 614-8083
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34131TLG CA Primary

Addresses

Primary practice location

3951 Grand Ave
Chino, CA 91710-5429

Mailing address

15920 Pomona Rincon Rd Unit 6210
Chino Hills, CA 91709-5529
Phone (949) 784-9184

Other practice location 1

1055 Harriman Pl
San Bernardino, CA 92408-4203
Phone (909) 799-3130

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
I20190111001867 CA Practitioner - Optometry 1153667134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olave St Clair Optometry IncGroup PAC ID 5395174361, 4 clinicians

Practice addresses (Care Compare)

592 S Grand Ave
Covina, CA 91724-3467
Phone (626) 331-6448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34131CAMDChiropractor
34131TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bernard Levin Dr D H Duncan Dr Perry S Hom an Optometric Corp Optometrist CurrentSince Nov 1, 2024 Accepting new patients

Locations

592 S Grand Ave
Covina, CA 91724
Phone (626) 331-6448

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1376018846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 POMONA RINCON RD UNIT 6210",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095529",
            "telephone_number": "949-784-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 GRAND AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105429",
            "telephone_number": "909-548-5355",
            "fax_number": "909-614-8083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Harriman Pl",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924084203",
            "country_code": "US",
            "telephone_number": "909-799-3130",
            "fax_number": "909-799-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "OLAVE",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34131TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.