Provider Demographics
NPI:1568876852
Name:CYA OPTOMETRY CORPORATION
Entity Type:Organization
Organization Name:CYA OPTOMETRY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHENG YU
Authorized Official - Middle Name:A
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:760-252-7518
Mailing Address - Street 1:945 ARMORY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-5401
Mailing Address - Country:US
Mailing Address - Phone:760-252-7518
Mailing Address - Fax:760-252-7510
Practice Address - Street 1:945 ARMORY RD STE C
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311
Practice Address - Country:US
Practice Address - Phone:760-252-7518
Practice Address - Fax:760-252-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14004152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty