Jiyoung Yoon, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006830 Issued in NY

Practice address

3409 Jerome Ave
Bronx, NY 10467-1049

Phone

(718) 231-9000

Fax

(718) 405-9626

NPI assigned

Jul 19, 2006

Last updated

Jun 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jiyoung Yoon Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyoon840711@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Optical

  • Optometrist
  • Bronx, NY
  • NPI 1114996840
  Medicare reassignment NPD Authorized official
• Galleria Optique

  • Optometrist
  • Little Neck, NY
  • NPI 1871519496
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1568482289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671049",
            "telephone_number": "718-231-9000",
            "fax_number": "718-405-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671049",
            "telephone_number": "718-231-9000",
            "fax_number": "718-405-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JIYOUNG",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02956738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIYOUNG",
            "last_name": "YOON",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hyun Ah Yoon
• Jacqueline Heejung Yoon, D.M.D
• Jing Ja Yoon, M.D.
• Jinhee Yoon, MD
• Jinju Yoon
• Nam I Yoon
• Somi Yoon
• Sung Mi Yoon, M.D.
• Yina Yoon, D.D.S.
• York Pharmacy Inc

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.