Provider Demographics
NPI:1700448925
Name:WILLIAM Y. TO, O.D., INC
Entity Type:Organization
Organization Name:WILLIAM Y. TO, O.D., INC
Other - Org Name:OPTICAL ILLUSIONS OF SAN MATEO: AN OPTOMETRIC PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:KATALINA
Authorized Official - Middle Name:ASHE ROWLAND
Authorized Official - Last Name:YANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:425-445-6120
Mailing Address - Street 1:1750 LUNDY AVE UNIT 612899
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95161-7117
Mailing Address - Country:US
Mailing Address - Phone:408-960-4498
Mailing Address - Fax:
Practice Address - Street 1:194 HILLSDALE SHOPPING CENTER
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-3409
Practice Address - Country:US
Practice Address - Phone:650-341-8080
Practice Address - Fax:650-341-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty