Individual provider Active NPI

Yang Xia, O.D.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1477968873
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008150-1 Issued in NY
Practice address
135-12 Roosevelt Avenue
Flushing, NY 11354
Phone
(718) 886-8637
Fax
(718) 886-8607
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008150-1 NY Primary

Addresses

Primary practice location

135-12 Roosevelt Avenue
Flushing, NY 11354

Mailing address

201-07 50TH Ave
Oakland Gardens, NY 11364-1005
Phone (917) 635-7677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150128000519 NY Practitioner - Optometry 5597089201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13512 Roosevelt Ave
Suite 1
Flushing, NY 11354-5314
Phone (917) 635-7677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008150NYMDRegistered Dietitian
TUV008150-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Optometry PLLC Optometrist CurrentSince Jan 2, 2016 Accepting new patients

Locations

13512 Roosevelt Ave
Ste 1
Flushing, NY 11354
Phone (917) 635-7677

13512 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-8637

Organizations & group practices 1

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1477968873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201-07 50TH AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641005",
            "telephone_number": "917-635-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135-12 ROOSEVELT AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-8637",
            "fax_number": "718-886-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIA",
        "first_name": "YANG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008150-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.