Active NPI
Unbreen Yasin, O.D.
- Optometrist
- Woodridge, IL
National Provider Identifier
1932230422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 7300 Woodward Ave
Woodridge, IL 60517-2534 - Phone
- (630) 353-0156
- NPI assigned
- Mar 8, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
7300 Woodward Ave
Woodridge, IL 60517-2534
Mailing address
10269 Il Route 64
Sycamore, IL 60178-8513
Phone (815) 761-4634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.009934 | IL | MD | Optometrist |
Interoperability endpoints
- 87575@visionworks.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932230422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10269 IL ROUTE 64",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601788513",
"telephone_number": "815-761-4634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 WOODWARD AVE",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172534",
"telephone_number": "630-353-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASIN",
"first_name": "UNBREEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.