Active NPI
Sae Young Yu, O.D.
- Optometrist
- Statesboro, GA
National Provider Identifier
1760526701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2357
- Practice address
- 730 Northside Dr E
Vision Center
Statesboro, GA 30458-4766 - Phone
- (912) 764-9750
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2357 | GA | Primary |
Addresses
Primary practice location
730 Northside Dr E
Vision Center
Statesboro, GA 30458-4766
Mailing address
2626 Hunters Place LNDG
Grayson, GA 30017-7829
Phone (770) 289-7388
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 |
|---|---|---|---|
| 2357 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. John S Yu and Associates P.C. | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
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
- Peachtree Corners, GA
- NPI 1003447889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760526701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 HUNTERS PLACE LNDG",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300177829",
"telephone_number": "770-289-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 NORTHSIDE DR E",
"address_2": "VISION CENTER",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584766",
"telephone_number": "912-764-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SAE",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.