| Yuan Optometry, A Professional Corporation | |
|
22015 Avalon Blvd Ste A Carson CA 90745-3355 | |
| (310) 830-7584 | |
| (310) 830-5856 |
| Full Name | Yuan Optometry, A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 22015 Avalon Blvd Ste A, Carson, California |
| Authorized Official Name and Position | Ryan Yuan (PRESIDENT) |
| Authorized Official Contact | 3108307584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yuan Optometry, A Professional Corporation 22015 Avalon Blvd Ste A Carson CA 90745-3355 Ph: (310) 830-7584 | Yuan Optometry, A Professional Corporation 22015 Avalon Blvd Ste A Carson CA 90745-3355 Ph: (310) 830-7584 |
| NPI Number | 1770154049 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7012308299 |
|---|---|
| Medicare Enrollment ID | O20211222002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770154049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Erin Akemi Osako |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043261712 PECOS PAC ID: 5496761678 Enrollment ID: I20060224000450 |
| Provider Name | Grace Ann Jung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790167492 PECOS PAC ID: 9830458439 Enrollment ID: I20180104001247 |
| Provider Name | Anna Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558713024 PECOS PAC ID: 9436490067 Enrollment ID: I20190409002378 |
| Provider Name | Vione Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578184156 PECOS PAC ID: 5193149722 Enrollment ID: I20200715003266 |
| Provider Name | Ryan William Yuan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558982132 PECOS PAC ID: 6800204306 Enrollment ID: I20210422001068 |
| Provider Name | Christine Jaein Hur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093397614 PECOS PAC ID: 6103290531 Enrollment ID: I20230324002397 |
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