Individual provider Active NPI

Frank H. Yoon, O.D.

  • Optometrist
  • Orange, CA
National Provider Identifier
1629073051
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9130T Issued in CA
Practice address
311 N Tustin St
Ste B
Orange, CA 92867-7776
Phone
(714) 997-7500
Fax
(714) 997-4864
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9130T CA Primary

Addresses

Primary practice location

311 N Tustin St
Ste B
Orange, CA 92867-7776

Mailing address

311 N Tustin St
Ste B
Orange, CA 92867-7776
Phone (714) 997-7500

Other identifiers 1

IdentifierTypeStateIssuer
SD0091300MedicaidCA

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
I20100827000890 CA Practitioner - Optometry 1355465394 Practice locations: Orange, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 N Tustin St
Suite B
Orange, CA 92867-7776
Phone (714) 997-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9130TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C & C Optometry, Inc. Optometrist CurrentSince Sep 1, 2015 Accepting new patients

Locations

311 N Tustin St
Ste B
Orange, CA 92867
Phone (714) 997-7500

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1629073051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N TUSTIN ST",
            "address_2": "STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677776",
            "telephone_number": "714-997-7500",
            "fax_number": "714-997-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N TUSTIN ST",
            "address_2": "STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677776",
            "telephone_number": "714-997-7500",
            "fax_number": "714-997-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "FRANK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9130T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0091300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.