Healthcare Provider Details

I. General information

NPI: 1982667887
Provider Name (Legal Business Name): PAUL PUI YEE O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 01/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22268 FOOTHILL BLVD
HAYWARD CA
94541-2723
US

IV. Provider business mailing address

22268 FOOTHILL BLVD
HAYWARD CA
94541-2723
US

V. Phone/Fax

Practice location:
  • Phone: 510-889-1520
  • Fax: 510-889-1519
Mailing address:
  • Phone: 510-889-1520
  • Fax: 510-889-1519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number12020T
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number12020T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: