Active NPI
William T. Yoe, O.D.
- Optometrist
- Columbus, GA
National Provider Identifier
1871588798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1063T
- Practice address
- 2404 13TH St
Columbus, GA 31906-2066 - Phone
- (706) 327-7269
- Fax
- (706) 327-8524
- NPI assigned
- Sep 16, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1063T | GA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1063T | GA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1063T | GA | |
| Pediatric Optometrist | 152WP0200X | 1063T | GA | |
| Sports Vision Optometrist | 152WS0006X | 1063T | GA | |
| Occupational Vision Optometrist | 152WX0102X | 1063T | GA |
Addresses
Primary practice location
2404 13TH St
Columbus, GA 31906-2066
Mailing address
2404 13TH St
Columbus, GA 31906-2066
Phone (706) 327-7269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00296073B | Medicaid | GA | |
| 0716110001 | Other | GA | DMERC |
| 00296073 | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001063 | GA | MD | Marriage & Family Therapist |
| 1063T | GA | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients | |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Mark Lynn OD & Associates, PC | Optometrist | Current | Accepting new patients |
Locations
50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379
6783 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 323-0260
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
Organizations & group practices 4
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.
-
- Optometrist
- Lithonia, GA
- NPI 1174105936
-
- Optometrist
- Lithonia, GA
- NPI 1417055203
-
- Eyewear Supplier
- Savannah, GA
- NPI 1518375500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1871588798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 13TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062066",
"telephone_number": "706-327-7269",
"fax_number": "706-327-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 13TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062066",
"telephone_number": "706-327-7269",
"fax_number": "706-327-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOE",
"first_name": "WILLIAM",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2008-01-25",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1063T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "1063T",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "GA",
"license": "1063T",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "GA",
"license": "1063T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "GA",
"license": "1063T",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "GA",
"license": "1063T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00296073B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0716110001",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00296073",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.