Provider Demographics
NPI:1962635995
Name:YONKER, JEFFREY (OD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:YONKER
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 1:401 W WHITESTONE BLVD BLDG B200
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7757
Mailing Address - Country:US
Mailing Address - Phone:512-583-0861
Mailing Address - Fax:512-583-0865
Practice Address - Street 1:401 W WHITESTONE BLVD
Practice Address - Street 2:BLDG B200
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7757
Practice Address - Country:US
Practice Address - Phone:512-583-0861
Practice Address - Fax:512-583-0865
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7473TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist