Active NPI
David Yoon, O.D.
- Optometrist
- Snellville, GA
National Provider Identifier
1609801786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002284
- Practice address
- 2055 Scenic Hwy N Ste 3
Snellville, GA 30078-6167 - Phone
- (770) 736-7757
- Fax
- (770) 736-9066
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002284 | GA | Primary |
Addresses
Primary practice location
2055 Scenic Hwy N Ste 3
Snellville, GA 30078-6167
Mailing address
5235 Locomotive LN
Norcross, GA 30071-2751
Phone (770) 736-7757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002284 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609801786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5235 LOCOMOTIVE LN",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712751",
"telephone_number": "770-736-7757",
"fax_number": "770-736-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 SCENIC HWY N STE 3",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786167",
"telephone_number": "770-736-7757",
"fax_number": "770-736-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.