Provider Demographics
NPI:1730475724
Name:YOUNG, ESTHER (OD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:YEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1585 62ND ST UNIT 8812
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94662-7035
Mailing Address - Country:US
Mailing Address - Phone:415-569-0135
Mailing Address - Fax:
Practice Address - Street 1:39608 EUREKA DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-4805
Practice Address - Country:US
Practice Address - Phone:415-569-0135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist