Provider Demographics
NPI:1457393290
Name:YEH, PING KUANG (OD)
Entity Type:Individual
Prefix:DR
First Name:PING
Middle Name:KUANG
Last Name:YEH
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 1:1741 E BARDIN RD
Mailing Address - Street 2:SUITE 291
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-4836
Mailing Address - Country:US
Mailing Address - Phone:817-702-8470
Mailing Address - Fax:817-702-8780
Practice Address - Street 1:1741 E BARDIN RD
Practice Address - Street 2:SUITE 291
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-4836
Practice Address - Country:US
Practice Address - Phone:817-702-8470
Practice Address - Fax:817-702-8780
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6494TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV04297Medicare UPIN
TX611635Medicare ID - Type Unspecified