Provider Demographics
NPI:1710290655
Name:JEW, CHRISTY YEET-YEON (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:YEET-YEON
Last Name:JEW
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 1:6519 FM 1488 RD
Mailing Address - Street 2:SUITE 503
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3263
Mailing Address - Country:US
Mailing Address - Phone:281-946-2020
Mailing Address - Fax:281-946-2025
Practice Address - Street 1:6519 FM 1488 RD
Practice Address - Street 2:SUITE 503
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3263
Practice Address - Country:US
Practice Address - Phone:281-946-2020
Practice Address - Fax:281-946-2025
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7600TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB114854Medicare PIN