Provider Demographics
NPI:1275804452
Name:BOB YIP, OD & ASSOCIATES, PA
Entity Type:Organization
Organization Name:BOB YIP, OD & ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:YEE
Authorized Official - Last Name:YIP
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-221-9502
Mailing Address - Street 1:604 W PALM VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9215
Mailing Address - Country:US
Mailing Address - Phone:407-221-9502
Mailing Address - Fax:407-658-1694
Practice Address - Street 1:741 N ALAFAYA TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7047
Practice Address - Country:US
Practice Address - Phone:407-737-8686
Practice Address - Fax:407-659-1694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2888152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty