1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Optometrist
  6. NPI Profile

SHANA NAYOUNG YUN OD
NPI 1053297663
Optometrist in Brooklyn, NY

Active since August 12, 2025PECOS Enrolled
20 ROCKWELL PL APT 1513, BROOKLYN, NY 11201(714) 299-7485 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shana Nayoung Yun Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANA NAYOUNG YUN OD (NPI 1053297663) is an individual optometrist in Brooklyn, New York, licensed in New York (011208) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053297663
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHANA NAYOUNG YUNCredential: OD
Location Address20 ROCKWELL PL APT 1513Brooklyn, NY 11201-8064
Mailing Address20 Rockwell Pl Apt 1513Brooklyn, NY 11201-8064 · (714) 299-7485
Phone(714) 299-7485
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1053297663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 011208
Definition
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.
20 ROCKWELL PL APT 1513, Brooklyn, NY 11201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shana Nayoung Yun Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547731952
PECOS Enrollment IDI20260608000039
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shana Yun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Overstock Goods Liquidators Inc
2.1 mi
Optometrist
1511 FULTON ST, 1ST FL
Brooklyn, NY 11216
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1194210369 (347) 770-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shana Yun's NPI number?

The NPI number for Shana Yun is 1053297663. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Shana Yun located?

Shana Yun practices at 20 Rockwell Pl Apt 1513, Brooklyn, NY 11201. The listed phone number is (714) 299-7485.

What is Shana Yun's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shana Yun enrolled in Medicare?

Yes. Shana Yun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shana Yun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Yun reassigns Medicare benefits to Overstock Goods Liquidators Inc (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shana Yun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shana Yun was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.