Dr. Jerry K. Yeang

Primary specialty

OptometristTaxonomy code 152W00000X

License

3407TG Issued in TX

Legal business name

DR. JERRY K. YEANG

Practice address

6500 S Padre Island Dr
Suite #17
Corpus Christi, TX 78412-4055

Phone

(361) 993-3388

Fax

(361) 993-3388

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry K. Yeang, ODNPI 1912182650

Title

Owner

Phone

(361) 993-3388

Specialties & licenses 1

Addresses

Other names 1

• Corpus Christi Optometric Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry K Yeang

  • Optometrist
  • Corpus Christi, TX
  • NPI 1912182650
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197676800000",
    "number": "1790835197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR",
            "address_2": "SUITE #17",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124055",
            "telephone_number": "361-993-3388",
            "fax_number": "361-993-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR",
            "address_2": "SUITE #17",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124055",
            "telephone_number": "361-993-3388",
            "fax_number": "361-993-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERRY K. YEANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-12-15",
        "status": "A",
        "authorized_official_last_name": "YEANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-993-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3407TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Christine Drake, NP-C
• DRC Health Systems, LP

• Optometrist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.