Individual provider Active NPI

Elaine Yu, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1699325027
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34447TLG Issued in CA
Practice address
661 N Euclid St
Anaheim, CA 92801-4622
Phone
(714) 817-0606
NPI assigned
Sep 17, 2019
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34447TLG CA Primary

Addresses

Primary practice location

661 N Euclid St
Anaheim, CA 92801-4622

Mailing address

661 N Euclid St
Anaheim, CA 92801-4622
Phone (714) 817-0606

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
I20191223000575 CA Practitioner - Optometry 5698109833 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34447TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul S. Crismon, O.D. Inc CurrentSince Mar 5, 2021 Accepting new patients
Dr. Michael S. Chang O.D. Inc. Optometrist CurrentSince Jan 13, 2021 Accepting new patients

Locations

661 N Euclid St
Anaheim, CA 92801
Phone (714) 817-0606

17801 Pioneer Blvd
Ste F
Artesia, CA 90701
Phone (562) 239-2240

13800 San Antonio Dr
Norwalk, CA 90650
Phone (562) 864-6535

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1699325027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014622",
            "telephone_number": "714-817-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014622",
            "telephone_number": "714-817-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34447TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.