Timothy Boua Yang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3893 Issued in MN

Practice address

7912 Sunwood Drive, Unit #2
Ramsey, MN 55303

Phone

(612) 600-1968

NPI assigned

Oct 24, 2023

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Borealis Eyecare PLLC

  • Optometrist
  • Ramsey, MN
  • NPI 1548148513
  Medicare reassignment NPD Authorized official
• James J Hess & Scott Endres

  • Optometrist
  • Crystal, MN
  • NPI 1215934880
  NPD (past)

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1710759774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 QUEEN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303333",
            "telephone_number": "612-600-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 SUNWOOD DRIVE, UNIT #2",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "612-600-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "TIMOTHY",
        "middle_name": "BOUA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wood Psychotherapy LLC
• Yutong Wu
• Chienkong Xiong, DC
• Lisa K Xiong
• Mai Xiong
• Emelda Yufanyi, CNP
• Jennifer Hope Zenz-Olson, MSW LICSW

• Optometrist in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.

Verify at the official NPI Registry.