MEDICARE: DR. FERN YEE O.D.

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	10569	CA
2	152W00000X	Optometrist	7902TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558462143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERN YEE O.D.

Provider Business Mailing Address
First Line	:	1518 W KOENIG LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-1416
Country	:	US
Telephone Number	:	512-454-5117
Fax Number	:	512-450-1496

Provider Business Practice Location Address
First Line	:	1518 W KOENIG LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-1416
Country	:	US
Telephone Number	:	512-454-5117
Fax Number	:	512-450-1496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	09/06/2024

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Directions to “ DR. FERN YEE O.D.” Practice Location

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