Active NPI
Yangzi Maggie Jiang, O.D.
- Optometrist
- West Jordan, UT
National Provider Identifier
1932249901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- UVT007131
- Practice address
- 7571 S 3800 W
West Jordan, UT 84084-4319 - Phone
- (801) 282-5682
- Fax
- (801) 282-5684
- NPI assigned
- Feb 7, 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 | UVT007131 | NY | Primary |
Addresses
Primary practice location
7571 S 3800 W
West Jordan, UT 84084-4319
Mailing address
1918 E Rich Way
Salt Lake City, UT 84121-4881
Phone (801) 505-9886
Other practice location 1
4270 Kissena Blvd
Flushing, NY 11355-3213
Phone (718) 888-9838
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932249901 | Medicaid | UT | |
| U000086030 | Other | UT | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20140326001525 | UT | Practitioner - Optometry | 6901978055 | Practice locations: West Jordan, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7571 S 3800
West Jordan, UT 84084-4319
Phone (801) 282-5682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UVT007131 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Fashion Optical, Inc | Optometrist | Past | Accepting new patients |
| Advanced Eye Physician PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1932249901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 E RICH WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841214881",
"telephone_number": "801-505-9886",
"fax_number": "801-282-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7571 S 3800 W",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840844319",
"telephone_number": "801-282-5682",
"fax_number": "801-282-5684"
}
],
"practiceLocations": [
{
"address_1": "4270 Kissena Blvd",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113553213",
"country_code": "US",
"telephone_number": "718-888-9838",
"fax_number": "212-227-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIANG",
"first_name": "YANGZI",
"middle_name": "MAGGIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "UVT007131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932249901",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U000086030",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.