Active NPI
Katalina Ashe Rowland Yandell, OD
- Optometrist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34040TLG
- Practice address
- 377 Santana Row Ste 1115
San Jose, CA 95128-2058 - Phone
- (408) 502-5020
- Fax
- (408) 389-8261
- NPI assigned
- Aug 3, 2018
- Last updated
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34040TLG | CA | Primary |
Addresses
Primary practice location
377 Santana Row Ste 1115
San Jose, CA 95128-2058
Mailing address
377 Santana Row Ste 1115
San Jose, CA 95128-2058
Phone (408) 502-5020
Other practice location 1
6000 Bollinger Canyon Rd Ste 1104
San Ramon, CA 94583-2305
Phone (925) 725-1745
Other practice location 2
194 Hillsdale Shopping Center
San Mateo, CA 94403-3409
Phone (650) 341-8080
Other practice location 3
9309 Glacier Hwy Ste A103
Juneau, AK 99801-9300
Phone (907) 789-3175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
194 Hillsdale Shopping Ctr
San Mateo, CA 94403-3409
Phone (650) 341-8080
9309 Glacier Hwy
Suite A103
Juneau, AK 99801-9300
Phone (907) 789-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34040 | CA | MD | Social Worker |
| 34040TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Y. to, O.D., Inc | Optometrist | Current | Accepting new patients |
| Michael J Bennett | Optometrist | Past | Accepting new patients |
Locations
9309 Glacier Hwy
Ste A103
Juneau, AK 99801
Phone (907) 789-3175
1750 Lundy Ave
Unit 612899
San Jose, CA 95161
377 Santana Row
Ste 1115
San Jose, CA 95128
Phone (408) 502-5020
194 Hillsdale Shopping Ctr
San Mateo, CA 94403
Phone (650) 341-8080
6000 Bollinger Canyon Rd
Ste 1104
San Ramon, CA 94583
Phone (925) 725-1745
Interoperability endpoints
- kyandell@opticalillusions.emadirect.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lifetime Eyecare by Optical Illusions
- Optometrist
- San Mateo, CA
- NPI 1700448925
AK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1871071589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 SANTANA ROW STE 1115",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282058",
"telephone_number": "408-502-5020",
"fax_number": "408-389-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 SANTANA ROW STE 1115",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282058",
"telephone_number": "408-502-5020",
"fax_number": "408-389-8261"
}
],
"practiceLocations": [
{
"address_1": "6000 Bollinger Canyon Rd Ste 1104",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945832305",
"country_code": "US",
"telephone_number": "925-725-1745",
"fax_number": "925-725-7922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "194 Hillsdale Shopping Center",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944033409",
"country_code": "US",
"telephone_number": "650-341-8080",
"fax_number": "650-341-8565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9309 Glacier Hwy Ste A103",
"address_purpose": "LOCATION",
"city": "Juneau",
"state": "AK",
"postal_code": "998019300",
"country_code": "US",
"telephone_number": "907-789-3175",
"fax_number": "844-903-4362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANDELL",
"first_name": "KATALINA",
"middle_name": "ASHE ROWLAND",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34040TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.