Healthcare Provider Details

I. General information

NPI: 1942357074
Provider Name (Legal Business Name): WINNIE F YEE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 GENEVA AVE
SAN FRANCISCO CA
94112-3403
US

IV. Provider business mailing address

940 GENEVA AVE
SAN FRANCISCO CA
94112-3403
US

V. Phone/Fax

Practice location:
  • Phone: 415-585-6588
  • Fax: 415-585-6403
Mailing address:
  • Phone: 415-585-6588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11243T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: