Active NPI
Elaine Yu, O.D.
- Optometrist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34447TLG
- Practice address
- 661 N Euclid St
Anaheim, CA 92801-4622 - Phone
- (714) 817-0606
- NPI assigned
- Sep 17, 2019
- Last updated
- May 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34447TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul S. Crismon, O.D. Inc | Current | Accepting new patients | |
| Dr. Michael S. Chang O.D. Inc. | Optometrist | Current | 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.
-
dba Precision Vision Optometry
- Optometrist
- Artesia, CA
- NPI 1952573982
-
- Occupational Vision Optometrist
- Norwalk, CA
- NPI 1568666824
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.