Provider Demographics
NPI:1548216716
Name:YARIS, ALLISON (OD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:YARIS
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 1:140 FOXHUNT CRES
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-1706
Mailing Address - Country:US
Mailing Address - Phone:516-242-0192
Mailing Address - Fax:516-242-0192
Practice Address - Street 1:8 PARKWOOD LN
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-4824
Practice Address - Country:US
Practice Address - Phone:516-935-0899
Practice Address - Fax:516-935-0969
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT006199-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist