MEDICARE: SANDY YEE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OA 5632	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083698690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDY YEE OD

Provider Business Mailing Address
First Line	:	409 MONTANA TRL
Second Line	:
City	:	BROWNS MILLS
State	:	NJ
Zip	:	08015-5703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 SOUTH ST
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2646
Country	:	US
Telephone Number	:	732-431-2290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	07/08/2007

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