COURTNEY YANAGIHARA (OD) – Optometrist, NPI 1629639455

COURTNEY YANAGIHARA (OD) is a healthcare provider. based in Fort wayne, Indiana. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 0618002792 (VA). The NPI Number for COURTNEY YANAGIHARA (OD) is 1629639455

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY YANAGIHARA (OD)
NPI
1629639455
Phone
(260) 460-1442
Address
2121 Lake Ave # 112B
Enumeration Date
24 June 2019
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2292442068
Graduation Year
2019 (7 years ago)
PAC ID
8628494671
Group Practice PAC ID
3375671589
Professional Enrollment ID
I20200820002385
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for COURTNEY YANAGIHARA (OD)

  • 2121 Lake Ave # 112B

    Fort Wayne, IN 468055100

    Phone: (260) 460-1442

    Type: Location

  • 4675 CUSTER DR

    VALDOSTA, GA 316057565

    Phone: (606) 483-1364

    Type: Mailing

  • 4120 N VALDOSTA RD STE A

    VALDOSTA, GA 316024973

    Phone: (229) 244-2068

    Type: Mailing

  • North Valdosta Road, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 316024973

    Phone: (229) 244-2068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Alcon Vision LLC ($83).

Total Amount

$265

General + Research + Ownership

Payments

10

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200820002385IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9474$0
92014Established patient complete exam of visual system7271$0
92134Imaging of retina4436$0
99214Established patient office or other outpatient visit, 30-39 minutes4334$0
92004New patient complete exam of visual system3939$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375671589View full group profile
NameSpecialtyState
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YSC
O P T O M E T R YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Can I cross-check COURTNEY YANAGIHARA (OD) using NPI 1629639455?
NPI 1629639455 belongs to COURTNEY YANAGIHARA (OD); compare other details if you need extra assurance.
Is there an active status for COURTNEY YANAGIHARA (OD)?
For scheduling context, COURTNEY YANAGIHARA (OD) is shown as active in the registry.
What expertise is attributed to COURTNEY YANAGIHARA (OD)?
COURTNEY YANAGIHARA (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with COURTNEY YANAGIHARA (OD)?
Directory geography for COURTNEY YANAGIHARA (OD) centers on Fort Wayne, Indiana.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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