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NPI Code Detail

MEDICARE: YI SHUN CHEUK OD

MEDICARE: YI SHUN CHEUK 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
1152W00000XOptometrist10584TX

General Provider Information

NPI Number : 1689301194
Entity Type Code : Individual
Provider Name (Legal Business Name) : YI SHUN CHEUK OD
Provider Business Mailing Address
First Line : 4000 AVENUE I
Second Line :
City : ROSENBERG
State : TX
Zip : 77471-3904
Country : US
Telephone Number : 281-342-4664
Fax Number :
Provider Business Practice Location Address
First Line : 4000 AVENUE I
Second Line :
City : ROSENBERG
State : TX
Zip : 77471-3904
Country : US
Telephone Number : 281-342-4664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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Directions to “ YI SHUN CHEUK OD” Practice Location

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