Provider Demographics
NPI:1639859812
Name:WANG, YUWEI (OD,MS)
Entity Type:Individual
Prefix:
First Name:YUWEI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:OD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-3540
Mailing Address - Country:US
Mailing Address - Phone:954-458-2112
Mailing Address - Fax:954-454-5340
Practice Address - Street 1:1050 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3540
Practice Address - Country:US
Practice Address - Phone:954-458-2112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC6314152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist