Provider Demographics
NPI:1841407764
Name:NG, YVONNE (OD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:NG
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 1:705 E BIDWELL ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3315
Mailing Address - Country:US
Mailing Address - Phone:916-983-6211
Mailing Address - Fax:916-983-6608
Practice Address - Street 1:705 E BIDWELL ST
Practice Address - Street 2:SUITE 10
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3315
Practice Address - Country:US
Practice Address - Phone:916-983-6211
Practice Address - Fax:916-983-6608
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12338152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist