Provider Demographics
NPI:1750429981
Name:LII, LETITIA YEE (OD)
Entity type:Individual
Prefix:DR
First Name:LETITIA
Middle Name:YEE
Last Name:LII
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LETITIA
Other - Middle Name:YIN
Other - Last Name:YEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:419 ECCLES AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-1902
Mailing Address - Country:US
Mailing Address - Phone:650-873-1089
Mailing Address - Fax:650-588-0307
Practice Address - Street 1:419 ECCLES AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-1902
Practice Address - Country:US
Practice Address - Phone:650-873-1089
Practice Address - Fax:650-588-0307
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10872T152W00000X
TX05475T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU98446Medicare UPIN