Individual provider Active NPI

Jeffrey Yonker, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1962635995
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7473TG Issued in TX
Practice address
401 W Whitestone Blvd
BLDG B200
Cedar Park, TX 78613-7757
Phone
(512) 583-0861
Fax
(512) 583-0865
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7473TG TX Primary

Addresses

Primary practice location

401 W Whitestone Blvd
BLDG B200
Cedar Park, TX 78613-7757

Mailing address

401 W Whitestone Blvd BLDG B200
Cedar Park, TX 78613-7757
Phone (512) 583-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140512001865 TX Practitioner - Optometry 1052557238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 W Whitestone Blvd
BLDG B200
Cedar Park, TX 78613-7798
Phone (512) 583-0861

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7473TXMDAddiction (Substance Use Disorder) Counselor
7473TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Yonker, OD, PLLC Optometrist CurrentSince Dec 14, 2012 Accepting new patients

Locations

401 W Whitestone Blvd
Bldg B200
Cedar Park, TX 78613
Phone (215) 522-9667

Organizations & group practices 1

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1962635995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W WHITESTONE BLVD BLDG B200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137757",
            "telephone_number": "512-583-0861",
            "fax_number": "512-583-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W WHITESTONE BLVD",
            "address_2": "BLDG B200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137757",
            "telephone_number": "512-583-0861",
            "fax_number": "512-583-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONKER",
        "first_name": "JEFFREY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7473TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.