Individual provider Active NPI

Sara Yee, O.D.

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1982804878
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13339 Issued in CA
Practice address
81 Broadway LN
Broadway Eyeworks Optometry
Walnut Creek, CA 94596-5104
Phone
(925) 930-7484
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13339 CA Primary

Addresses

Primary practice location

81 Broadway LN
Broadway Eyeworks Optometry
Walnut Creek, CA 94596-5104

Mailing address

81 Broadway LN
Broadway Eyeworks Optometry
Walnut Creek, CA 94596-5104
Phone (925) 930-7484

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
I20090429000102 CA Practitioner - Optometry 2961550033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Gilsdorf-Yee Optometric Group IncGroup PAC ID 2860662574, 2 clinicians

Practice addresses (Care Compare)

3708 Dublin Blvd
Dublin, CA 94568-7352
Phone (925) 551-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gilsdorf-Yee Optometric Group Inc Optometrist CurrentSince Jun 26, 2011 Accepting new patients
Lawrence G Mock, O.D. Optometrist Past Accepting new patients

Locations

3708 Dublin Blvd
Dublin, CA 94568
Phone (925) 551-3937

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1982804878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BROADWAY LN",
            "address_2": "BROADWAY EYEWORKS OPTOMETRY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965104",
            "telephone_number": "925-930-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BROADWAY LN",
            "address_2": "BROADWAY EYEWORKS OPTOMETRY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965104",
            "telephone_number": "925-930-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "SARA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.