Individual provider Active NPI

Jamie Kristin Yee, O.D

  • Optometrist
  • Dallas, TX
National Provider Identifier
1558659508
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7814T Issued in TX
Practice address
3220 Maple Ave Apt 465
Dallas, TX 75201-1271
Phone
(832) 279-1881
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7814T TX Primary

Addresses

Primary practice location

3220 Maple Ave Apt 465
Dallas, TX 75201-1271

Mailing address

3220 Maple Ave Apt 465
Dallas, TX 75201-1271
Phone (832) 279-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111011000561 TX Practitioner - Optometry 8426220666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9255 Dallas Pkwy
Frisco, TX 75033-4210
Phone (214) 407-7399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7814TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Avant-Garde Optometry Optometrist CurrentSince Apr 4, 2015 Accepting new patients

Locations

9255 Dallas Pkwy
Ste 140
Frisco, TX 75033
Phone (214) 407-7399

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1558659508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 MAPLE AVE APT 465",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011271",
            "telephone_number": "832-279-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MAPLE AVE APT 465",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011271",
            "telephone_number": "832-279-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "JAMIE",
        "middle_name": "KRISTIN",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7814T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.