Active NPI
Wendy Yu, OD
- Optometrist
- New York, NY
National Provider Identifier
1629535794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008920
- Practice address
- 17 Elizabeth St
# 401
New York, NY 10013-4803 - Phone
- (212) 226-3937
- Fax
- (646) 893-2692
- NPI assigned
- Feb 25, 2019
- 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 | 008920 | NY | Primary |
Addresses
Primary practice location
17 Elizabeth St
# 401
New York, NY 10013-4803
Mailing address
17 Elizabeth St
Ste 401
New York, NY 10013-4803
Phone (212) 226-3937
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201009000106 | NY | Practitioner - Optometry | 2365862505 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008920 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1629535794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ELIZABETH ST",
"address_2": "STE 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134803",
"telephone_number": "212-226-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ELIZABETH ST",
"address_2": "# 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134803",
"telephone_number": "212-226-3937",
"fax_number": "646-893-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.