MEDICARE: YING EYE CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	004544	NY

General Provider Information

NPI Number	:	1396851416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YING EYE CARE PC

Provider Business Mailing Address
First Line	:	157 FRONT ST
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1511
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 FRONT ST
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1511
Country	:	US
Telephone Number	:	607-754-4426
Fax Number	:	607-754-0464

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEIDI YING
Credential	:	OD
Telephone Number	:	607-754-4426

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	01/29/2022

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