Provider Demographics
NPI:1265624902
Name:DOAN, YEN (OD)
Entity type:Individual
Prefix:DR
First Name:YEN
Middle Name:
Last Name:DOAN
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 1:9500 S IH 35
Mailing Address - Street 2:BLDG G
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1752
Mailing Address - Country:US
Mailing Address - Phone:512-282-2010
Mailing Address - Fax:512-291-9650
Practice Address - Street 1:9500 S IH 35
Practice Address - Street 2:BLDG G
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1752
Practice Address - Country:US
Practice Address - Phone:512-282-2010
Practice Address - Fax:512-291-9650
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7061TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K3636Medicare PIN