MEDICARE: VEVEY YEN 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	3058 TX	WA

General Provider Information

NPI Number	:	1134255375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VEVEY YEN OD

Provider Business Mailing Address
First Line	:	PO BOX 60081
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98058-3081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 COSTCO DR STE 150
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-4808
Country	:	US
Telephone Number	:	206-574-7117
Fax Number	:

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	04/04/2025

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Directions to “ VEVEY YEN OD” Practice Location

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