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NPI Code Detail

MEDICARE: SANDY YEE OD EYECARE OF FREEHOLD, INC

MEDICARE: SANDY YEE OD EYECARE OF FREEHOLD, INC
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
1152W00000XOptometristOA5632NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11083698690OTHERNJNPI

General Provider Information

NPI Number : 1952551566
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDY YEE OD EYECARE OF FREEHOLD, INC
Provider Business Mailing Address
First Line : 179 SOUTH STREET
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 179 SOUTH ST
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-2646
Country : US
Telephone Number : 732-431-2290
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : S YEE
Credential : OD
Telephone Number : 732-431-2290
Provider Enumeration Date : 09/19/2008
Last Update Date : 09/19/2008

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