Healthcare Provider Details

I. General information

NPI: 1245382688
Provider Name (Legal Business Name): DONALD JAMES YEE O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 21ST ST
SACRAMENTO CA
95811-3117
US

IV. Provider business mailing address

915 21ST ST
SACRAMENTO CA
95811-3117
US

V. Phone/Fax

Practice location:
  • Phone: 916-448-6622
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number10749T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: