Healthcare Provider Details

I. General information

NPI: 1700707940
Provider Name (Legal Business Name): Y WEI OD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4123 UNION ST # 2B
FLUSHING NY
11355-2452
US

IV. Provider business mailing address

143 NUGENT ST
NEW HYDE PARK NY
11040-1915
US

V. Phone/Fax

Practice location:
  • Phone: 646-243-3848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. YUXIN WEI
Title or Position: OD
Credential:
Phone: 646-243-3848