Jonathan Geeloung Yin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003513 Issued in GA

Practice address

1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513

Phone

(678) 737-4616

NPI assigned

Aug 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 Alabama Birmingham - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry Georgia IncGroup PAC ID 5193732949, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathanyin@direct.eyecare-partners.com
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

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.

• Clarkson Optometry Georgia Inc

  • Optometrist
  • Alpharetta, GA
  • NPI 1184802670
  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  • Critical Access Hospital
  • Lexington, MS
  • NPI 1386630705
  NPD (past)

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1831974518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 HAW CREEK CIR STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 HAW CREEK CIR STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416513",
            "telephone_number": "678-737-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "JONATHAN",
        "middle_name": "GEELOUNG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitsan Yassin Jakob, LPC M.A
• Amanda Yassin
• Isaac Yates
• Lauren Yates, M.ED., CCC-SLP
• Revanth Sai Yendamuri, MD
• Michael Yaoyao Yin, M.D.
• Marilyn Wright Yon, MS, RDN, LD
• Brittney Young, MS, BCBA, LBA
• Melissa Kaye Young
• Nazia Moiz Younus, M.D.

• Optometrist in Cumming, GA
• Providers in Cumming, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.