Individual provider Active NPI

Qian Yang, O.D.

  • Optometrist
  • Cudahy, WI
National Provider Identifier
1891236089
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3448-35 Issued in WI
Practice address
6020 S Packard Ave
Cudahy, WI 53110-3028
Phone
(414) 769-6900
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3448-35 WI Primary

Addresses

Primary practice location

6020 S Packard Ave
Cudahy, WI 53110-3028

Mailing address

323 Cedar Ave
West Berlin, NJ 08091-9168
Phone (609) 598-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170424001660 WI Practitioner - Optometry 4183900327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates S CGroup PAC ID 6204723869, 9 clinicians

Practice addresses (Care Compare)

6020 S Packard Ave
Cudahy, WI 53110-3028
Phone (414) 769-6900

Merit-based Incentive Payment System (MIPS)

Final score
92.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates S C Optometrist CurrentSince Dec 23, 2017 Accepting new patients
Ophthalmology Associates S C Optometrist CurrentSince Dec 23, 2017 Accepting new patients
Ophthalmology Associates S C Optometrist Past Accepting new patients

Locations

6020 S Packard Ave
Cudahy, WI 53110
Phone (414) 294-4660

4600 W Loomis Rd
Ste 310
Greenfield, WI 53220
Phone (414) 281-0424

2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424

14300 W National Ave
Ste 200
New Berlin, WI 53151
Phone (262) 784-3937

14555 W National Ave
Ste 130
New Berlin, WI 53151
Phone (262) 784-3937

Interoperability endpoints

  • Direct secure messaging: qyang@oasc.intellechartdirect.net

Organizations & group practices 3

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1891236089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CEDAR AVE",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919168",
            "telephone_number": "609-598-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103028",
            "telephone_number": "414-769-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "QIAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3448-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

Verify at the official NPI Registry.