Healthcare Provider Details

I. General information

NPI: 1538223342
Provider Name (Legal Business Name): JOANNE YEE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SPEAR ST A6
SAN FRANCISCO CA
94105-1559
US

IV. Provider business mailing address

101 SPEAR ST A6
SAN FRANCISCO CA
94105-1559
US

V. Phone/Fax

Practice location:
  • Phone: 415-495-8600
  • Fax: 415-495-8638
Mailing address:
  • Phone: 415-495-8600
  • Fax: 415-495-8638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7394T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: