Individual provider Active NPI

Way Yu, O.D.

  • Optometrist
  • Richmond, CA
National Provider Identifier
1891925459
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13793 Issued in CA
Practice address
110 Washington Ave
Richmond, CA 94801-3947
Phone
(510) 235-5228
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13793 CA Primary

Addresses

Primary practice location

110 Washington Ave
Richmond, CA 94801-3947

Mailing address

22 Summerhill Way
San Rafael, CA 94903-3814
Phone (415) 785-7730

Other identifiers 2

IdentifierTypeStateIssuer
CE491ZOtherCAPTAN
1891925459OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090922000198 CA Practitioner - Optometry 6608922372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Point Richmond OptometryGroup PAC ID 2365719267, 3 clinicians

Practice addresses (Care Compare)

110 Washington Ave
Point Richmond, CA 94801-3947
Phone (510) 235-5228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13793CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Point Richmond Optometry Optometrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

110 Washington Ave
Richmond, CA 94801
Phone (510) 235-5228

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1891925459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SUMMERHILL WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033814",
            "telephone_number": "415-785-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WASHINGTON AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013947",
            "telephone_number": "510-235-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "WAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CE491Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891925459",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.