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General NPI Number Information
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NPI Number | 1588179857
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Entity Type | Organization
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Legal Business Name | YK OPTOMETRY, INC.
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 644 SAN ANTONIO RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-1304
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Country | US
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Telephone | 650-948-3260
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Fax | 650-948-3657
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Provider Business Mailing Address
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Address Line | 644 SAN ANTONIO RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-1304
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Country | US
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Telephone | 650-948-3260
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | YURA KIM
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Credential | O.D.
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Telephone | 650-948-3260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 14368
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License Number State | CA
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