MEDICARE: JASON 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	TUV006266	NY

General Provider Information

NPI Number	:	1982783254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON YEE O.D.

Provider Business Mailing Address
First Line	:	5403 KINGS PLZ
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5221
Country	:	US
Telephone Number	:	718-252-8333
Fax Number	:	718-377-7847

Provider Business Practice Location Address
First Line	:	5403 KINGS PLZ
Second Line	:	CONTACT LENS & VISION
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5221
Country	:	US
Telephone Number	:	718-252-8333
Fax Number	:	718-377-7847

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	11/29/2007

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