Individual provider Active NPI

Ling Yu

  • Optometrist
  • Martinez, GA
National Provider Identifier
1699906743
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002549 Issued in GA
Practice address
339 Furys Ferry Rd
Ste 1
Martinez, GA 30907-3072
Phone
(706) 432-8396
Fax
(706) 432-8557
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002549 GA Primary

Addresses

Primary practice location

339 Furys Ferry Rd
Ste 1
Martinez, GA 30907-3072

Mailing address

3635 Foxfire PL
Martinez, GA 30907-8953
Phone (919) 638-0341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20091104000079 GA Practitioner - Optometry 9234277781 Reassigns benefits to 1 organization
Practice locations: Martinez, GA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

339 Furys Ferry Rd
Suite 1
Martinez, GA 30907-3072
Phone (706) 432-8396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002549GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orbic Eye Care Optometrist CurrentSince Nov 16, 2016 Accepting new patients
Yuchong Smith Inc. Optometrist Past Accepting new patients
Daniel D Michael OD Optometrist Past Accepting new patients
Gulf Coast Optometry, PA Past Accepting new patients

Locations

339 Furys Ferry Rd
Ste 1
Martinez, GA 30907
Phone (706) 432-8396

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1699906743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 FOXFIRE PL",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078953",
            "telephone_number": "919-638-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FURYS FERRY RD",
            "address_2": "STE 1",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309073072",
            "telephone_number": "706-432-8396",
            "fax_number": "706-432-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "LING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.