DR. JAE S YU (NPI# 1013001767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013001767 |
| Entity Type | Individual |
| Full Name | DR. JAE S YU |
| Credential | O.D. |
| Practice Address |
1261 Cabrillo Ave Suite 200 Torrance CA 90501-2868 |
| Practice Telephone | 3106182244 |
| Practice Fax Number | 3106182240 |
| Mailing Telephone | 3106182244 |
| Mailing Fax Number | 3106182240 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9383T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1013001767 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124495197 | Jae Jeong Yu | Speech-Language Pathologist | 17 Williams Ave, Syosset, NY 11791-5006 | 2015-08-26 |
| 1497270813 | Jae Pil Yu | Pharmacist | 1055 Fremont Blvd, Seaside, CA 93955-5712 | 2017-08-07 |
| Street Address |
1261 CABRILLO AVE SUITE 200 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90501-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902116445 | Roger M. Yamashiro, Dds, Apc | Dentist | 1261 Cabrillo Ave, Suite 202, Torrance, CA 90501-2868 | 2010-10-18 |
| 1942380266 | Debra Lyn Alexander | Optometrist | 1261 Cabrillo Ave, Suite 200, Torrance, CA 90501-2868 | 2006-10-17 |
| 1932294733 | Dat T Do | Optometrist | 1261 Cabrillo Ave, #200, Torrance, CA 90501-2868 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351145 | Brittany Ford | Behavior Technician | 701 Van Ness Way, Ste. 710, Sacrmamento, CA 90501 | 2018-10-12 |
| 1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1124545397 | Daniel Benjamin | Social Worker | 1617 Cravens Ave., Torrance, CA 90501 | 2017-08-28 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1932638376 | Anderson Development Licensed Clinical Social Worker Inc | Social Worker | 21151 S Western Ave Ste 174, Torrance, CA 90501 | 2017-06-08 |
| 1548796626 | Green Meadow Homes, Inc. | Skilled Nursing Facility | 2460 W. 229th Street, Torrance, CA 90501 | 2017-05-10 |
| 1134679558 | Stacey Rose Garcia | Student in an Organized Health Care Education/Training Program | 1445 W 214th St, Torrance, CA 90501 | 2016-10-10 |
| 1700333002 | Veronica Mayela Martinez | Marriage & Family Therapist | 1523 W. 228th St Apt. A, Torrance, CA 90501 | 2016-09-02 |
| 1124453030 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1303 W Sepulveda Blvd, Torrance, CA 90501 | 2013-09-10 |
| Find all providers in zip 90501 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861048324 | Jennifer Chan | Optometrist | 19800 Hawthorne Blvd Ste 200, Torrance, CA 90503-1520 | 2019-08-12 |
| 1760043863 | Darin Hideaki Chun | Optometrist | 3537 Torrance Blvd Ste 18, Torrance, CA 90503-4818 | 2019-06-28 |
| 1386128528 | Amy Kim Optometry, Inc. | Optometrist | 21880 Hawthorne Blvd # 331a, Torrance, CA 90503-7031 | 2018-09-24 |
| 1649775370 | Hope Vision Care Optometry Inc | Optometrist | 3524 Torrance Blvd Ste 100, Torrance, CA 90503-4821 | 2018-03-26 |
| 1538685086 | Scavo Optometric Group, Inc. | Optometrist | 21540 Hawthorne Blvd., # 539, Lenscrafters - Del Amo Fashion Center, Torrance, CA 90503-5707 | 2017-08-16 |
| 1073035143 | Jaymie Niida | Optometrist | 21540 Hawthorne Blvd, Torrance, CA 90503-5707 | 2017-07-11 |
| 1316488265 | Tiffanny Lai, O.d. Inc. | Optometrist | 22100 Hawthorne Blvd, Torrance, CA 90503-7008 | 2017-03-12 |
| 1902354459 | Melissa M. Willey, Od Apc | Optometrist | 21760 Hawthorne Blvd, Torrance, CA 90503-7005 | 2016-09-13 |
| 1548630544 | Southwood Optometric Corporation | Optometrist | 4201 Torrance Blvd Ste 580, Torrance, CA 90503-4528 | 2015-10-02 |
| 1497159552 | Sharon Ann Wong | Optometrist | 3440 Lomita Blvd Ste 100, Torrance, CA 90505-4810 | 2014-10-20 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.