Individual provider Active NPI

Yanchi Guo, OD

  • Optometrist
  • West Roxbury, MA
National Provider Identifier
1386492577
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5702 Issued in MA
Practice address
81 Corey St
West Roxbury, MA 02132-2345
Phone
(617) 396-7394
NPI assigned
May 11, 2024
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5702 MA Primary

Addresses

Primary practice location

81 Corey St
West Roxbury, MA 02132-2345

Mailing address

81 Corey St
West Roxbury, MA 02132-2345
Phone (617) 396-7394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250422001705 MA Practitioner - Optometry 6406371509 Practice locations: West Roxbury, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

81 Corey St
West Roxbury, MA 02132-2345
Phone (617) 396-7394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5702MAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: yguo723004@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1386492577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 COREY ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322345",
            "telephone_number": "617-396-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 COREY ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322345",
            "telephone_number": "617-396-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "YANCHI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.