Healthcare Provider Details

I. General information

NPI: 1609800077
Provider Name (Legal Business Name): MICHAEL B YANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7185 LIBERTY CENTRE DR STE D
LIBERTY TOWNSHIP OH
45069-6586
US

IV. Provider business mailing address

7185 LIBERTY CENTRE DR STE D
LIBERTY TOWNSHIP OH
45069-6586
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-2000
  • Fax: 513-776-3745
Mailing address:
  • Phone: 513-777-2000
  • Fax: 513-776-3745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician
License Number35.080928
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35.080928
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: