DR. CAMERON MICAH YU OD
NPI 1164260550
Optometrist in Grand Terrace, CA

Q: What is Cameron Yu's NPI number?

The NPI number for Cameron Yu is 1164260550. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Cameron Yu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cameron Yu was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 18, 2024PECOS EnrolledAccepts Medicare Assignment

11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313(909) 864-1097 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, Jul 18, 2024 (2 updates tracked since 2024).

On this page

About Dr. Cameron Micah Yu Od NPPES

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

DR. CAMERON MICAH YU OD (NPI 1164260550) is an individual optometrist in Grand Terrace, California, licensed in California (35758) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164260550

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CAMERON MICAH YUCredential: OD

Location Address11980 MOUNT VERNON AVEGrand Terrace, CA 92313-5172

Mailing Address12415 Cedar AveChino, CA 91710-2654 · (650) 450-2801

Phone(909) 864-1097

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 18, 2024

Last NPPES UpdateMay 22, 20252 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1164260550 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 CA · 35758

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.

11980 MOUNT VERNON AVE, Grand Terrace, CA 92313

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Secondary Practice Locations 4

Location 117833 Colima RdCity Of Industry, CA 91748-1729 · Phone (626) 964-8864 · Fax (626) 965-8876

Location 26906 Brockton Ave Ste 6Riverside, CA 92506-3802 · Phone (951) 784-8373 · Fax (951) 784-8377

Location 3288 N Santa Anita Ave Ste 403Arcadia, CA 91006-3183 · Phone (626) 574-0009 · Fax (626) 574-0488

Location 4160 E Artesia St Ste 120Pomona, CA 91767-2920 · Phone (909) 629-5965 · Fax (909) 629-5968

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cameron Micah Yu Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951810787

PECOS Enrollment IDI20250603003126

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 Cameron Yu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina Institute Of California Medical Group, A California Medical Par

48 mi

Ophthalmology

100 E CALIFORNIA BLVD
Pasadena, CA 91105

Reassigned Medicare billing, California enrollment
83 clinicians in this Medicare group

NPI 1760541569 (800) 898-2020

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 92313 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VY VY LU OD

Optometrist