Individual provider Active NPI

Annie Han-CHI Yu, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1821612656
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61076833 Issued in WA
Practice address
301A E Pike St
Seattle, WA 98122-3609
Phone
(206) 464-0472
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61076833 WA Primary

Addresses

Primary practice location

301A E Pike St
Seattle, WA 98122-3609

Mailing address

3306 W Government Way Unit C
Seattle, WA 98199-1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20220726001693 WA Practitioner - Optometry 3173905965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

2539 Marvin Rd NE
Suite B
Lacey, WA 98516-3175
Phone (360) 459-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61076833WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Washington Professional PC Optometrist CurrentSince Jan 24, 2023 Accepting new patients
Ballard Optometry, PLLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Broadway Vision Source CurrentSince Jun 14, 2020 Accepting new patients
Urban Optix LLC Optometrist PastSince Oct 1, 2016 Accepting new patients
Eyecare Center LLC Optometrist Past Accepting new patients

Locations

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

12310 NE 8th St
Bellevue, WA 98005
Phone (206) 455-0001

1179 S Market Blvd
Chehalis, WA 98532
Phone (360) 748-9228

2539 Marvin Rd NE
Ste B
Lacey, WA 98516
Phone (360) 459-3333

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

1719 NW Market St
Seattle, WA 98107
Phone (206) 784-2090

400 Fairview Ave N
Ste 115
Seattle, WA 98109
Phone (206) 250-0057

400 Fairview Ave N
Seattle, WA 98109
Phone (206) 420-7366

301 E Pike St
#A
Seattle, WA 98122
Phone (206) 464-0472

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1821612656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 W GOVERNMENT WAY UNIT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301A E PIKE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223609",
            "telephone_number": "206-464-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ANNIE",
        "middle_name": "HAN-CHI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61076833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.