Individual provider Active NPI

Leanne Melissa Yuke, O.D.

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1700274115
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12046T Issued in CA
Practice address
9174 Franklin Blvd
Elk Grove, CA 95758-5524
Phone
(916) 422-1066
Fax
(916) 422-1162
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12046T CA Primary

Addresses

Primary practice location

9174 Franklin Blvd
Elk Grove, CA 95758-5524

Mailing address

9174 Franklin Blvd
Elk Grove, CA 95758-5524
Phone (916) 422-1066

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12046TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1700274115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9174 FRANKLIN BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585524",
            "telephone_number": "916-422-1066",
            "fax_number": "916-422-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9174 FRANKLIN BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585524",
            "telephone_number": "916-422-1066",
            "fax_number": "916-422-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUKE",
        "first_name": "LEANNE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12046T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.