Provider Demographics
NPI:1215133772
Name:CYNTHIA YIN, O.D., L.L.C.
Entity type:Organization
Organization Name:CYNTHIA YIN, O.D., L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:MAN-SHAN
Authorized Official - Last Name:YIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-642-1769
Mailing Address - Street 1:9726 CHADWICK DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2112
Mailing Address - Country:US
Mailing Address - Phone:913-642-1769
Mailing Address - Fax:
Practice Address - Street 1:7127 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2245
Practice Address - Country:US
Practice Address - Phone:913-568-4694
Practice Address - Fax:913-814-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS38515018OtherBLUECROSS AND BLUESHIELD
KS2009693704Medicaid
KSDR4952Medicare PIN
KS6211030001Medicare NSC
KS38515018OtherBLUECROSS AND BLUESHIELD