NPIMap

Organization Active NPI

Yen McIndoe, OD, LLC

  • Optometrist
  • Hoover, AL
National Provider Identifier
1912393653
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD14TA953 Issued in AL
Legal business name
YEN MCINDOE, OD, LLC
Practice address
633 Shades Crest Rd
Hoover, AL 35226-1205
Phone
(205) 401-7752
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Yen McIndoe, O.D.
Title
Owner/Optometrist
Phone
(205) 401-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SD14TA953 AL Primary

Addresses

Primary practice location

633 Shades Crest Rd
Hoover, AL 35226-1205

Mailing address

633 Shades Crest Rd
Hoover, AL 35226-1205
Phone (205) 401-7752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1912393653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SHADES CREST RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261205",
            "telephone_number": "205-401-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SHADES CREST RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261205",
            "telephone_number": "205-401-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEN MCINDOE, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "MCINDOE",
        "authorized_official_first_name": "YEN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "205-401-7752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SD14TA953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.