Active NPI
Yin Li, O.D.
- Optometrist
- Birmingham, AL
National Provider Identifier
1619237757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-D15-TA-919
- Practice address
- 1716 University Boulevard
HPB G080
Birmingham, AL 35294-0010 - Phone
- (205) 975-2020
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 | S-D15-TA-919 | AL | Primary |
Addresses
Primary practice location
1716 University Boulevard
HPB G080
Birmingham, AL 35294-0010
Mailing address
1716 University Boulevard
HPB G080
Birmingham, AL 35294-0010
Phone (205) 975-2020
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-D15-TA-919 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1619237757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 UNIVERSITY BOULEVARD",
"address_2": "HPB G080",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940010",
"telephone_number": "205-975-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 UNIVERSITY BOULEVARD",
"address_2": "HPB G080",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940010",
"telephone_number": "205-975-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YIN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-D15-TA-919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.