Active NPI
David Yu, OD
- Optometrist
- Oceanside, NY
National Provider Identifier
1487737680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006549-1
- Practice address
- 40 Atlantic Ave
Oceanside, NY 11572-2037 - Phone
- (516) 255-2020
- Fax
- (516) 255-1818
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006549-1 | NY | Primary |
Addresses
Primary practice location
40 Atlantic Ave
Oceanside, NY 11572-2037
Mailing address
40 Atlantic Ave
Oceanside, NY 11572-2037
Phone (516) 255-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02511526 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006549-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rycam LLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Oceanside, NY
- NPI 1154465623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1487737680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ATLANTIC AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722037",
"telephone_number": "516-255-2020",
"fax_number": "516-255-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ATLANTIC AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722037",
"telephone_number": "516-255-2020",
"fax_number": "516-255-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006549-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02511526",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.