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NPI Code Detail

MEDICARE: YIN YIN YUEN O.D.

MEDICARE: YIN YIN YUEN O.D.
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
1152W00000XOptometrist4237MA

Other Identifiers

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

General Provider Information

NPI Number : 1508938655
Entity Type Code : Individual
Provider Name (Legal Business Name) : YIN YIN YUEN O.D.
Provider Business Mailing Address
First Line : 3 PELHAM RD
Second Line :
City : NATICK
State : MA
Zip : 01760-2408
Country : US
Telephone Number : 617-549-2816
Fax Number :
Provider Business Practice Location Address
First Line : 30 MEMORIAL DR
Second Line :
City : AVON
State : MA
Zip : 02322-1919
Country : US
Telephone Number : 508-587-8391
Fax Number : 508-587-5317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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Directions to “ YIN YIN YUEN O.D.” Practice Location

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