YEN SOU OD
NPI 1649823436
Optometrist in Moreno Valley, CA
About Yen Sou Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YEN SOU OD (NPI 1649823436) is an individual optometrist in Moreno Valley, California, licensed in California (34732TLG) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Yen Sou 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.
Medicare Billing Reassignment
Medicare enrollment records show Yen Sou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 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 92553 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Yen Sou's NPI number?
The NPI number for Yen Sou is 1649823436. It was assigned to this individual provider in the NPPES registry on July 20, 2019.
Where is Yen Sou located?
Yen Sou practices at 12625 Frederick St Ste B10, Moreno Valley, CA 92553. The listed phone number is (951) 571-2192.
What is Yen Sou's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Yen Sou enrolled in Medicare?
Yes. Yen Sou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Yen Sou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yen Sou reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). 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 Yen Sou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yen Sou accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Yen Sou 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 Yen Sou was last updated on October 27, 2023. 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.
# Yen Sou, OD · NPI 1649823436
Optometrist provider in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since July 20, 2019.
## Identity
- **NPI:** 1649823436 (Entity type: Individual)
- **Enumerated:** July 20, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34732TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12625 FREDERICK ST STE B10, Moreno Valley, CA 92553-5232
- **Phone:** (951) 571-2192
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649823436) · Data from the CMS NPPES public registry.