MEDICARE: MR. MASTON JOHN YEE

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	156FX1800X	Optician		MI

General Provider Information

NPI Number	:	1780722264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MASTON JOHN YEE

Provider Business Mailing Address
First Line	:	34393 PLYMOUTH RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1539
Country	:	US
Telephone Number	:	734-522-6500
Fax Number	:	734-522-6510

Provider Business Practice Location Address
First Line	:	34393 PLYMOUTH RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1539
Country	:	US
Telephone Number	:	734-522-6500
Fax Number	:	734-522-6510

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. MASTON JOHN YEE ” Practice Location

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