Provider Demographics
NPI:1760738074
Name:HE, YIXING (OD)
Entity Type:Individual
Prefix:DR
First Name:YIXING
Middle Name:
Last Name:HE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13335 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3630
Mailing Address - Country:US
Mailing Address - Phone:347-732-4889
Mailing Address - Fax:347-732-4423
Practice Address - Street 1:13335 41ST AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3630
Practice Address - Country:US
Practice Address - Phone:347-732-4889
Practice Address - Fax:477-324-4233
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007827152WP0200X, 207WX0110X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist