Yaqun Bao, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

TX6840TG Issued in TX

Practice address

1730 Williams Trace Blvd Ste J
Sugar Land, TX 77478-4055

Phone

(281) 491-2199

Fax

(281) 491-2199

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Yachin Bao Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1639392228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD STE J",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-491-2199",
            "fax_number": "281-491-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD STE J",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-491-2199",
            "fax_number": "281-491-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "YAQUN",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX6840TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00Z031",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00Z031",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8F7837",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TX6840TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YACHIN",
            "last_name": "BAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anam Ali Bangash
• Atinuke Banjo, APRN -FNP
• Banner Healthcare Services, Inc (Banner Healthcare Services)
• Maryam Bano
• Shimin Bao, M.A., BCBA
• Alicia Lea Barber, LMSW, MSSW
• Gayrene A Barclay, NP
• Mohammed Bari, M.D.
• Ashley Nicole Barnes
• Katherine Barnes, RBT

• Optometrist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.