Active NPI
Keren H. Yang, O.D.
- Optometrist
- Silverdale, WA
National Provider Identifier
1912965906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003898
- Practice address
- 2200 NW Myhre Road
Silverdale, WA 98383-7681 - Phone
- (360) 830-1304
- Fax
- (360) 830-1380
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003898 | WA | Primary |
Addresses
Primary practice location
2200 NW Myhre Road
Silverdale, WA 98383-7681
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034361 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080414000676 | WA | Practitioner - Optometry | 6406868355 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
2200 NW Myhre Rd
Silverdale, WA 98383-7681
Phone (360) 830-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00003898 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Khy Optometry & Associates, PLLC | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Northern Valley Eyecare, Inc. | Optometrist | Past | Accepting new patients |
Locations
2200 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 830-1100
9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- keren.yang@tdc.directbygreenway.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Clinic/Center
- Lacey, WA
- NPI 1235464850
-
- Surgery Physician
- Federal Way, WA
- NPI 1356560056
-
- Nurse Practitioner
- Bonney Lake, WA
- NPI 1497194922
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Family Medicine Physician
- Enumclaw, WA
- NPI 1801825641
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- Optometrist
- Saint Albans, VT
- NPI 1083601587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1912965906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NW MYHRE ROAD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837681",
"telephone_number": "360-830-1304",
"fax_number": "360-830-1380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "KEREN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034361",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.