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DR. TIMOTHY BOUA YANG O.D.
NPI 1710759774
Optometrist in Ramsey, MN

Active since October 24, 2023PECOS Enrolled
7912 SUNWOOD DRIVE, UNIT #2, RAMSEY, MN 55303(612) 600-1968 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Timothy Boua Yang O.d. NPPES

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

DR. TIMOTHY BOUA YANG O.D. (NPI 1710759774) is an individual optometrist in Ramsey, Minnesota, licensed in Minnesota (3893) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710759774
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY BOUA YANGCredential: O.D.
Location Address7912 SUNWOOD DRIVE, UNIT #2Ramsey, MN 55303
Mailing Address5019 Queen Ave NMinneapolis, MN 55430-3333 · (612) 600-1968
Phone(612) 600-1968
Sole ProprietorNo
Enumeration DateOctober 24, 2023
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1710759774 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 MN · 3893
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.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Timothy Boua Yang O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Timothy Yang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Borealis Eyecare PLLC
Optometrist
7912 SUNWOOD DRIVE, UNIT #2
Ramsey, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1548148513 (612) 600-1968
Luxottica Of America Inc
Optometrist
4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1689711046 (513) 765-3534

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 55303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

BOREALIS EYECARE PLLC
Optometrist
7912 SUNWOOD DRIVE, UNIT #2
RAMSEY, MN 55303
Anoka County (612) 600-1968

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 Timothy Yang's NPI number?

The NPI number for Timothy Yang is 1710759774. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Timothy Yang located?

Timothy Yang practices at 7912 Sunwood Drive, Unit #2, Ramsey, MN 55303. The listed phone number is (612) 600-1968.

What is Timothy Yang's specialty?

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

Is Timothy Yang enrolled in Medicare?

Yes. Timothy Yang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Yang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Yang reassigns Medicare benefits to 2 organizations: Borealis Eyecare PLLC (Ramsey, MN) and Luxottica Of America Inc (Mason, OH). 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 Timothy Yang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Yang 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 3 other insurers list Timothy Yang 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 Timothy Yang was last updated on August 26, 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.