Provider Demographics
NPI:1316024979
Name:LI, BI YU (OD)
Entity Type:Individual
Prefix:DR
First Name:BI
Middle Name:YU
Last Name:LI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:BI
Other - Middle Name:LI
Other - Last Name:JELLENEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:800 E ROCHAMBEAU DR STE F276
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-9006
Mailing Address - Country:US
Mailing Address - Phone:757-549-2020
Mailing Address - Fax:
Practice Address - Street 1:1501 SAMS CIR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4694
Practice Address - Country:US
Practice Address - Phone:757-549-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001616152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist