Provider Demographics
NPI:1427392703
Name:YAP OPTOMETRY, P.C.
Entity Type:Organization
Organization Name:YAP OPTOMETRY, P.C.
Other - Org Name:EYE.Q. OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAP
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-373-8789
Mailing Address - Street 1:2700 COLORADO BLVD STE 239
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1048
Mailing Address - Country:US
Mailing Address - Phone:602-373-8789
Mailing Address - Fax:888-769-4820
Practice Address - Street 1:2700 COLORADO BLVD STE 239
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1048
Practice Address - Country:US
Practice Address - Phone:602-373-8789
Practice Address - Fax:888-769-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13481152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty