Individual provider Active NPI

Yue Han Yang, OD

  • Optometrist
  • Fair Oaks, CA
National Provider Identifier
1447062856
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35906 Issued in CA
Practice address
5345 Sunrise Blvd
Fair Oaks, CA 95628-3546
Phone
(916) 966-4700
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 35906 CA Primary

Addresses

Primary practice location

5345 Sunrise Blvd
Fair Oaks, CA 95628-3546

Mailing address

218 Apex Loop Apt 303
Folsom, CA 95630-6953
Phone (279) 245-3847

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
I20250425000326 CA Practitioner - Optometry 1153847850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Waterloo - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Eyes Optometry IncGroup PAC ID 5698956449, 6 clinicians
Avani Patel Optometric CorporationGroup PAC ID 1052780632, 12 clinicians

Practice addresses (Care Compare)

2690 E Bidwell St
Suite 500
Folsom, CA 95630-6432
Phone (916) 983-6838

5345 Sunrise Blvd
Suite B
Fair Oaks, CA 95628-3547
Phone (510) 731-7873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35906CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avani Patel Optometric Corporation Optometrist CurrentSince Feb 16, 2025 Accepting new patients
Healthy Eyes Optometry Inc Optometrist CurrentSince Dec 15, 2025 Accepting new patients

Locations

4917 Golden Foothill Pkwy
Ste A
El Dorado Hills, CA 95762
Phone (916) 934-2689

5345 Sunrise Blvd
Ste B
Fair Oaks, CA 95628
Phone (510) 731-7873

5345 Sunrise Blvd
Fair Oaks, CA 95628
Phone (916) 966-4700

2690 E Bidwell St
Ste 500
Folsom, CA 95630
Phone (916) 549-6728

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1447062856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 APEX LOOP APT 303",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306953",
            "telephone_number": "279-245-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 SUNRISE BLVD",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283546",
            "telephone_number": "916-966-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "YUE HAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.