Provider Demographics
NPI:1467838227
Name:YANG, FEI (OD)
Entity Type:Individual
Prefix:DR
First Name:FEI
Middle Name:
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 1:564 N MAIN ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-8001
Mailing Address - Country:US
Mailing Address - Phone:937-748-3937
Mailing Address - Fax:937-748-5209
Practice Address - Street 1:564 N MAIN ST UNIT A
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-8001
Practice Address - Country:US
Practice Address - Phone:937-748-3937
Practice Address - Fax:937-748-5209
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.006763152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist