Jacob Carl Yates

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6592 Issued in FL

Practice address

15 Cypress Branch Way Ste 205
Palm Coast, FL 32164-8414

Phone

(386) 445-1880

NPI assigned

Jul 22, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

University of Pikeville, Kentucky College of Osteopathic Med, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 6)

Locations

Networks

• Freedom Health HMO Network

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.

• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028

  FL, Optometrist

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Sebring, FL
  • NPI 1093186033
  Care Compare group
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Leesburg, FL
  • NPI 1245870641
  Care Compare group
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Boynton Beach, FL
  • NPI 1700392065
  Care Compare group
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • New Smyrna Beach, FL
  • NPI 1942976014
  Care Compare group
• Myeyedr. Optometry of Florida, LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1285005215
  Care Compare group
• Myeyedr. Optometry of Florida, LLC

  • Optometrist
  • Lake Wales, FL
  • NPI 1396277141
  Care Compare group
• Myeyedr. Optometry of Florida, LLC

  • Optometrist
  • Winter Haven, FL
  • NPI 1760853824
  Care Compare group
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Palm Beach, FL
  • NPI 1669210340
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Perry, FL
  • NPI 1437537529
  NPD (past)
• National Vision Inc

  • Optometrist
  • Lexington, KY
  • NPI 1366197345
  NPD (past)

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1780412957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CYPRESS BRANCH WAY STE 205",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648414",
            "telephone_number": "386-445-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JACOB",
        "middle_name": "CARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2416DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Wright
• Jarvis Wright Sr.
• Joshua Wright, DC
• Brahmananda Rao Yadlapalli, MD
• Chaitanya H Yajnik, M.D.
• Frank Jacob Yavorosky
• Angela Yevseyevich, FNP
• Ygeia Health Center
• Ygeia Health Center
• Christy Michelle Yorgey, APRN

• All providers in Palm Coast, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.