VANIA YIP BAE, O.D. — NPI 1396094249 (Licensed & Credentialed Eye and Vision Service Providers

CMS-1500 Box 24J / 33a • NPI

1396094249

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

152W00000X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist

Box 32 Service Location & ZIP+4

1404 ATWOOD AVE, JOHNSTON, RI, 02919-4841

✓ 9-Digit EDI 837 ZIP+4 (02919-4841)

Practice Phone & Referral Fax

(401) 943-6000

Fax: (401) 943-6017

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396094249 (VANIA YIP BAE, O.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396094249` (NPI-1 Individual Practitioner)
Provider / Legal Name	VANIA YIP BAE, O.D.
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: `152W00000X` (Optometrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1404 ATWOOD AVE, JOHNSTON, RI, 02919-4841
Practice Telephone / Fax	Tel: (401) 943-6000 \| Fax: (401) 943-6017
Administrative Mailing Address	50 PARK ROW W APT 312, PROVIDENCE, RI, 02903-1145
Enumeration & Last Sync	Enumerated: 2012-09-06 \| CMS Record Updated: 2024-12-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1404 ATWOOD AVE, JOHNSTON, RI, 02919-4841

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Plain-English Taxonomy & CMS Crosswalk (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (VANIA YIP BAE, O.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: CA \| License: `OPT 14478 TLG` \| Primary: Secondary
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: MA \| License: `5063` \| Primary: Secondary
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: RI \| License: `CODTG00674` \| Primary: Secondary
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: VA \| License: `0618003289` \| Primary: Yes (Primary)

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VANIA YIP BAE, O.D. (NPI #1396094249)