Dr Timothy Boua Yang, OD is a medicare enrolled "Optometrist" provider in Ramsey, Minnesota. His current practice location is
7912 Sunwood Drive, Unit #2, Ramsey, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 600-1968.
Dr Timothy Boua Yang is licensed to practice in Minnesota (license number 3893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710759774.
Healthcare Provider's Profile
| Full Name | Dr Timothy Boua Yang |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 7912 Sunwood Drive, Unit #2, Ramsey, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710759774
- Provider Enumeration Date: 10/24/2023
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850748260
- Enrollment ID: I20231107001693
Medical Identifiers
Medical identifiers for Dr Timothy Boua Yang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710759774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3893 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy Boua Yang allows following entities to bill medicare on his behalf.
| Provider Name | Crystal Vision Clinic Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720480007
PECOS PAC ID: 2860716396
Enrollment ID: O20150109002151 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Boua Yang is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Timothy Boua Yang, OD
5019 Queen Ave N,
Minneapolis, MN 55430-3333
Ph: (612) 600-1968 | Dr Timothy Boua Yang, OD
7912 Sunwood Drive, Unit #2,
Ramsey, MN 55303
Ph: (612) 600-1968 |
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