Provider Demographics
NPI:1003447889
Name:DR. JOHN S YU AND ASSOCIATES P.C.
Entity type:Organization
Organization Name:DR. JOHN S YU AND ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:SAE
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-289-7388
Mailing Address - Street 1:7742 SPALDING DR # 382
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4207
Mailing Address - Country:US
Mailing Address - Phone:770-289-7388
Mailing Address - Fax:
Practice Address - Street 1:5151 PEACHTREE PKWY STE 700
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-6523
Practice Address - Country:US
Practice Address - Phone:770-289-7388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. SAE YU AND ASSOCIATES P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty