Provider Demographics
NPI:1265841100
Name:YANG, ESTHER S (OD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:S
Last Name:YANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 W PEACHTREE ST NW STE 860
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3609
Mailing Address - Country:US
Mailing Address - Phone:678-538-1968
Mailing Address - Fax:678-331-5268
Practice Address - Street 1:1110 W PEACHTREE ST NW STE 860
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3609
Practice Address - Country:US
Practice Address - Phone:678-538-1968
Practice Address - Fax:678-331-5268
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5026152W00000X
GAOPT003217152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist