JANE YOO OD
NPI 1114573946
Optometrist in Philadelphia, PA
About Jane Yoo Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANE YOO OD (NPI 1114573946) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG003583) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilkes Barre.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jane Yoo Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jane Yoo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19122
- Reassigned Medicare billing, Pennsylvania enrollment
- 24 clinicians in this Medicare group
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- 16 clinicians in this Medicare group
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 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
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 Jane Yoo's NPI number?
The NPI number for Jane Yoo is 1114573946. It was assigned to this individual provider in the NPPES registry on August 16, 2019.
Where is Jane Yoo located?
Jane Yoo practices at 1030 Arch St, Philadelphia, PA 19107. The listed phone number is (215) 238-1444.
What is Jane Yoo's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jane Yoo enrolled in Medicare?
Yes. Jane Yoo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jane Yoo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jane Yoo reassigns Medicare benefits to 2 organizations: Trend Eye Care II LLC (Philadelphia, PA) and City Line Eye Care LLC (Bala Cynwyd, PA). Each 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 Jane Yoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jane Yoo accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 4 other insurers list Jane Yoo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jane Yoo was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jane Yoo, OD · NPI 1114573946
Optometrist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 16, 2019.
## Identity
- **NPI:** 1114573946 (Entity type: Individual)
- **Enumerated:** August 16, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG003583 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1030 ARCH ST, Philadelphia, PA 19107-3011
- **Phone:** (215) 238-1444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trend Eye Care II LLC (NPI 1285029223, Philadelphia, PA); City Line Eye Care LLC (NPI 1851975312, Bala Cynwyd, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1114573946) · Data from the CMS NPPES public registry.