Healthcare Provider Details

I. General information

NPI: 1073194221
Provider Name (Legal Business Name): BAILEY YEE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 S STAPLEY DR
MESA AZ
85204
US

IV. Provider business mailing address

63 S ROCKFORD DR STE 220
TEMPE AZ
85288-6226
US

V. Phone/Fax

Practice location:
  • Phone: 480-833-9100
  • Fax: 480-833-6000
Mailing address:
  • Phone: 602-598-7488
  • Fax: 480-413-0032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT-002584
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: