Individual provider Active NPI

Renee D. Yearwood, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1508833260
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005506 Issued in NY
Practice address
4422 3Rd Ave
7TH Floor, Eye Clinic
Bronx, NY 10457-2545
Phone
(718) 960-6389
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005506 NY Primary

Addresses

Primary practice location

4422 3Rd Ave
7TH Floor, Eye Clinic
Bronx, NY 10457-2545

Mailing address

13324 Sanford Ave
Apt. 9L
Flushing, NY 11355-3650
Phone (718) 445-2103

Other identifiers 1

IdentifierTypeStateIssuer
01484591MedicaidNY

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
I20031215000631 NY Practitioner - Optometry 1153228572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community Health Center IncGroup PAC ID 4486545266, 49 clinicians

Practice addresses (Care Compare)

260 E 188TH St
Bronx, NY 10458-5302
Phone (718) 618-8236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005506NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Health Center, Inc. CurrentSince Nov 10, 2017 Accepting new patients
Bronx Ophthalmologic PC. Optometrist Past Accepting new patients

Locations

2016 Bronxdale Ave
Ste 301
Bronx, NY 10462
Phone (718) 409-2222

2016 Bronxdale Ave
Bronx, NY 10462
Phone (718) 822-1515

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

2016 Bronxdale Ave
Ste 202
Bronx, NY 10462
Phone (203) 856-8550

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: renee.yearwood.1@18107.direct.athenahealth.com

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508833260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 SANFORD AVE",
            "address_2": "APT. 9L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553650",
            "telephone_number": "718-445-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "address_2": "7TH FLOOR, EYE CLINIC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "RENEE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01484591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.