Active NPI
Yer Vang, OD
- Optometrist
- Roseville, MN
National Provider Identifier
1649365982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2835
- Practice address
- 2100 Snelling Ave N
Roseville, MN 55113-6000 - Phone
- (651) 633-6300
- Fax
- (651) 639-8242
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 2835 | MN | Primary |
Addresses
Primary practice location
2100 Snelling Ave N
Roseville, MN 55113-6000
Mailing address
9221 Sierra Rd
Woodbury, MN 55125-3512
Phone (651) 353-6107
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 |
|---|---|---|---|
| 2835 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649365982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 SIERRA RD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253512",
"telephone_number": "651-353-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SNELLING AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136000",
"telephone_number": "651-633-6300",
"fax_number": "651-639-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "YER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
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.