MEDICARE: WENDY SHEM YEH, 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	10731	CA

General Provider Information

NPI Number	:	1639537251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WENDY SHEM YEH, OD

Provider Business Mailing Address
First Line	:	1368 E WALNUT ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1528
Country	:	US
Telephone Number	:	626-796-3105
Fax Number	:	626-796-8816

Provider Business Practice Location Address
First Line	:	1368 E WALNUT ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1528
Country	:	US
Telephone Number	:	626-796-3105
Fax Number	:	626-796-8816

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. WENDY YVETTE SHEM YEH
Credential	:	OD
Telephone Number	:	626-796-3105

Provider Enumeration Date	:	02/10/2016
Last Update Date	:	02/10/2016

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