Individual provider Active NPI

Yi-Ming T Harrison, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1982669560
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4981TG Issued in TX
Practice address
13376 Research Blvd
Suite #124
Austin, TX 78750-3250
Phone
(512) 336-2371
Fax
(512) 336-2373
NPI assigned
Apr 18, 2006
Last updated
May 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4981TG TX Primary

Addresses

Primary practice location

13376 Research Blvd
Suite #124
Austin, TX 78750-3250

Mailing address

13376 Research Blvd
Suite #124
Austin, TX 78750-3250
Phone (512) 336-2371

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
I20041123001152 TX Practitioner - Optometry 7911962402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4981TGTXMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1982669560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13376 RESEARCH BLVD",
            "address_2": "SUITE #124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503250",
            "telephone_number": "512-336-2371",
            "fax_number": "512-336-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13376 RESEARCH BLVD",
            "address_2": "SUITE #124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503250",
            "telephone_number": "512-336-2371",
            "fax_number": "512-336-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "YI-MING",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4981TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.