Provider Demographics
NPI:1780826933
Name:YAU, CHUNG YIN (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:CHUNG YIN
Middle Name:
Last Name:YAU
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MOTT ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4981
Mailing Address - Country:US
Mailing Address - Phone:212-925-8181
Mailing Address - Fax:212-941-8428
Practice Address - Street 1:107 MOTT ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4981
Practice Address - Country:US
Practice Address - Phone:212-925-8181
Practice Address - Fax:212-941-8428
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007048-01156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician