Individual provider Active NPI

Ryan Joshua Yeung, OD

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1477039097
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9536T Issued in TX
Practice address
4537 Park CT
Bellaire, TX 77401-3713
Phone
(832) 622-7448
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9536T TX Primary

Addresses

Primary practice location

4537 Park CT
Bellaire, TX 77401-3713

Mailing address

4537 Park CT
Bellaire, TX 77401-3713
Phone (832) 622-7448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20201120000772 CO Practitioner - Optometry 9335499847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Eye Health Center, P.C.Group PAC ID 9638060817, 4 clinicians

Practice addresses (Care Compare)

1220 Summit View Dr
Louisville, CO 80027-2572
Phone (303) 665-7797

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9536TTXMDOptometrist

Interoperability endpoints

  • Direct secure messaging: ryeungfr@frontrangeeyehealth.emadirect.md

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1477039097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 PARK CT",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013713",
            "telephone_number": "832-622-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 PARK CT",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013713",
            "telephone_number": "832-622-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "RYAN",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9536T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.