Organization Active NPI

Sophia K Yang, O.D, PLC

  • Optometrist
  • Davison, MI
National Provider Identifier
1821562422
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOPHIA K YANG, O.D, PLC
Practice address
1016 S State Rd
Davison, MI 48423-1904
Phone
(810) 653-3206
NPI assigned
Jan 16, 2019
Last updated
Apr 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Sophia K Yang, OD
Title
Optometrist
Phone
(312) 848-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1016 S State Rd
Davison, MI 48423-1904

Mailing address

12233 Woodside Dr Apt 3
Grand Blanc, MI 48439-1643
Phone (312) 848-6051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1821562422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12233 WOODSIDE DR APT 3",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391643",
            "telephone_number": "312-848-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231904",
            "telephone_number": "810-653-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA K YANG, O.D, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "312-848-6051",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.