Active NPI
Cynthia Man-Shan Yin, O.D.
- Optometrist
- Overland Park, KS
National Provider Identifier
1740247915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1203-3
- Practice address
- 9726 Chadwick Dr
Overland Park, KS 66206-2112 - Phone
- (913) 642-1769
- NPI assigned
- Apr 28, 2006
- Last updated
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TO2537 | MO | |
| Optometrist | 152W00000X | 1203-3 | KS | Primary |
Addresses
Primary practice location
9726 Chadwick Dr
Overland Park, KS 66206-2112
Mailing address
9726 Chadwick Dr
Overland Park, KS 66206-2112
Phone (913) 642-1769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25419043 | Other | KS | BLUECROSS AND BLUESHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1203-3 | KS | MD | Optometrist |
| TO2537 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Eyes Optical, LC | Optometrist | Past | Accepting new patients |
| Gerhard W Cibis MD PC | Optometrist | Past | Accepting new patients |
| Dr. Roger C. Wineinger Optometric PA | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Shawnee, KS
- NPI 1891975231
-
- Optometrist
- Overland Park, KS
- NPI 1164681409
-
- Optometrist
- Kansas City, MO
- NPI 1376619635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1740247915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9726 CHADWICK DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662062112",
"telephone_number": "913-642-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9726 CHADWICK DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662062112",
"telephone_number": "913-642-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIN",
"first_name": "CYNTHIA",
"middle_name": "MAN-SHAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO2537",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1203-3",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS AND BLUESHIELD",
"identifier": "25419043",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.