Individual provider Active NPI

Brian Michael Yee, O.D.

  • Optometrist
  • Tracy, CA
National Provider Identifier
1497733729
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11241 Issued in CA
Practice address
36 W 10TH St
Tracy, CA 95376-3902
Phone
(209) 835-7446
Fax
(209) 835-3572
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11241 CA Primary

Addresses

Primary practice location

36 W 10TH St
Tracy, CA 95376-3902

Mailing address

36 W 10TH St
Tracy, CA 95376-3902
Phone (209) 835-7446

Other identifiers 1

IdentifierTypeStateIssuer
SD0112411MedicaidCA

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
I20080109000263 CA Practitioner - Optometry 4587744099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tracy Optometry Group, IncGroup PAC ID 3870554934, 4 clinicians
Eaton Optometric Group IncGroup PAC ID 2961715990, 4 clinicians

Practice addresses (Care Compare)

36 W 10TH St
Tracy, CA 95376-3902
Phone (209) 835-7446

4598 S Tracy Blvd
Tracy, CA 95377-8112
Phone (209) 835-1181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11241CAMDOptometrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Eaton Optometric Group, Inc. Optometrist CurrentSince Jan 15, 2015 Accepting new patients
Eaton Optometric Group Optometrist Past Accepting new patients

Locations

4598 S Tracy Blvd
Ste 130
Tracy, CA 95377
Phone (209) 835-1181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1497733729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 10TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763902",
            "telephone_number": "209-835-7446",
            "fax_number": "209-835-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 10TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763902",
            "telephone_number": "209-835-7446",
            "fax_number": "209-835-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112411",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.