Individual provider Active NPI

Lijing Yao, O.D.

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1588847768
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13435 Issued in CA
Practice address
1104 Stoneridge Mall Rd
Stoneridge SHP Ctr
Pleasanton, CA 94588-3219
Phone
(925) 463-3520
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13435 CA Primary

Addresses

Primary practice location

1104 Stoneridge Mall Rd
Stoneridge SHP Ctr
Pleasanton, CA 94588-3219

Mailing address

1104 Stoneridge Mall Rd
Stoneridge SHP Ctr
Pleasanton, CA 94588-3219
Phone (925) 463-3520

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
I20080612000887 CA Practitioner - Optometry 5597836866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince May 30, 2023 Accepting new patients
Advanced Eyecare Professional Optometric Group Optometrist CurrentSince Jul 12, 2023 Accepting new patients
Bay Area Community Health CurrentSince May 30, 2023 Accepting new patients
Greta Torossian, Optometric Corp. Optometrist CurrentSince Oct 21, 2025 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Robert E. Neger, M.D. Optometrist Past Accepting new patients

Locations

7509 Laurel Ave
Fontana, CA 92336
Phone (805) 485-3338

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

330 N Brand Blvd
Ste 110
Glendale, CA 91203
Phone (818) 240-0890

1055 Foothill Blvd
La Canada, CA 91011

1057 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 550-0411

1066 S White Rd
Ste 170
San Jose, CA 95127

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

6702 Inglewood Ave
Ste H
Stockton, CA 95207
Phone (209) 951-3937

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1588847768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 STONERIDGE MALL RD",
            "address_2": "STONERIDGE SHP CTR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883219",
            "telephone_number": "925-463-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 STONERIDGE MALL RD",
            "address_2": "STONERIDGE SHP CTR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883219",
            "telephone_number": "925-463-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "LIJING",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.