Jerry K Yeang

Primary specialty

OptometristTaxonomy code 152W00000X

License

3407TG Issued in TX

Practice address

6500 S Padre Island Dr Ste 17
Corpus Christi, TX 78412-4055

Phone

(361) 993-3388

Fax

(361) 993-3388

NPI assigned

Dec 31, 2007

Last updated

Nov 9, 2012By the provider in NPPES

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 TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Jerry K. Yeang

  dba Corpus Christi Optometric

  • Optometrist
  • Corpus Christi, TX
  • NPI 1790835197
  NPD (past) Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1912182650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR STE 17",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124055",
            "telephone_number": "361-993-3388",
            "fax_number": "361-993-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR STE 17",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124055",
            "telephone_number": "361-993-3388",
            "fax_number": "361-993-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEANG",
        "first_name": "JERRY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3407TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yayo LLC (Yayo Healthcare Services)
• Vivianna Rae Ybanez
• Diamond S Ybarbo
• Rowena Lazaro Ybarra, RD, LD
• Qilin Ye, M.D.
• Shannen Marie Yee, MFT-ASSOCIATE
• Yellow Arrow Consulting, LLC
• Enrique Yepez
• Catherine Yeung, MD
• Megan Renee Ymbert

• Optometrist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.

Verify at the official NPI Registry.