Provider Demographics
NPI:1194837823
Name:YEHYAWI, EYAD HUSSEIN (OD)
Entity Type:Individual
Prefix:DR
First Name:EYAD
Middle Name:HUSSEIN
Last Name:YEHYAWI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2274 HOLIDAY RD
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2743
Mailing Address - Country:US
Mailing Address - Phone:319-520-7221
Mailing Address - Fax:
Practice Address - Street 1:2645 BLAIRS FERRY RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-1802
Practice Address - Country:US
Practice Address - Phone:319-393-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02297152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist