Individual provider Active NPI

Esther Sophia Yang

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1922524925
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33823TLG Issued in CA
Practice address
930 S Robertson Blvd Ste C
Los Angeles, CA 90035-1642
Phone
(310) 274-0653
Fax
(310) 274-0653
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33823TLG CA Primary

Addresses

Primary practice location

930 S Robertson Blvd Ste C
Los Angeles, CA 90035-1642

Mailing address

930 S Robertson Blvd Ste C
Los Angeles, CA 90035-1642
Phone (310) 274-0653

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
I20171005002821 CA Practitioner - Optometry 6800161514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 S Robertson Blvd
Suite C
Los Angeles, CA 90035-1642
Phone (310) 274-0653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33823CAMDGeneral Practice Dentistry
33823TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robertson Optometry, PC Optometrist CurrentSince Dec 22, 2019 Accepting new patients
Dr.Robert Kummer,O.D., a Professional Corporation Optometrist CurrentSince Dec 22, 2019 Accepting new patients
Robert L. Shapiro OD Optometrist PastSince Sep 21, 2017 Accepting new patients

Locations

1421 S Robertson Blvd
Los Angeles, CA 90035
Phone (310) 274-0653

930 S Robertson Blvd
Ste C
Los Angeles, CA 90035
Phone (310) 274-0653

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1922524925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S ROBERTSON BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351642",
            "telephone_number": "310-274-0653",
            "fax_number": "562-420-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S ROBERTSON BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351642",
            "telephone_number": "310-274-0653",
            "fax_number": "310-274-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ESTHER",
        "middle_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33823TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.