Physician Compare National (NPI:1144206079)

HEALTHCARE PROVIDER: DIANE LI-CHUAN YU-DAVIS OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144206079
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618039439
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160209001827
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YU DAVIS
	Individual professional last name
Provider First Name	DIANE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4631 AIRPORT BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110B
	Group Practice or individual's line 2 address
City	AUSTIN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787513441
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5124544401
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y