J Travis Yadon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

950 Issued in OK

Practice address

10101 S Penn Ave
Ste a
Oklahoma City, OK 73159-6929

Phone

(405) 691-3319

Fax

(405) 691-1377

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Southern College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source-Okc South PLLCGroup PAC ID 9739151010, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Source-Okc South PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1629156617
  Medicare reassignment Care Compare group NPD
• Psychiatric Health Corporation

  • Geriatric Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1639343650
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1700820925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 S PENN AVE",
            "address_2": "STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596929",
            "telephone_number": "405-691-3319",
            "fax_number": "405-691-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 S PENN AVE",
            "address_2": "STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596929",
            "telephone_number": "405-691-3319",
            "fax_number": "405-691-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADON",
        "first_name": "J",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100760060A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "4585530001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Jiajin Xing, MD
• Yan Xiong, MD
• Vicki Grace Yackeyonny, RMA
• Audra Michelle Yadack, M.D.
• Riddhi Vikas Yadav
• Angela Yaffe, MD
• Brooke Ashley Yaffe
• Ikuyo Yamaguchi, MD
• Freda Yamah
• Laura Elizabeth Yamamoto, PH.D.

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.