Provider Demographics
NPI:1740453620
Name:YEU-LIN, ELIZABETH Y (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:Y
Last Name:YEU-LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:YEU
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:241 CORPORATE BLVD. STE. 210
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502
Mailing Address - Country:US
Mailing Address - Phone:757-622-2200
Mailing Address - Fax:757-965-9493
Practice Address - Street 1:241 CORPORATE BLVD
Practice Address - Street 2:STE. 210
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502
Practice Address - Country:US
Practice Address - Phone:757-622-2200
Practice Address - Fax:757-965-9493
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253475207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1740453620OtherTRICARE/TRICARE FOR LIFE
VA489220OtherANTHEM BCBS
VAP01179585OtherRR MEDICARE
VA1740453620Medicaid
VA10107980OtherOPTIMA
VA1740453620Medicaid