Provider Demographics
NPI:1952421463
Name:YEE, VERNON (OD)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:
Last Name:YEE
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 1:1111 W EL CAMINO REAL STE 123
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1057
Mailing Address - Country:US
Mailing Address - Phone:408-245-5101
Mailing Address - Fax:408-245-5120
Practice Address - Street 1:1111 W EL CAMINO REAL STE 123
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1057
Practice Address - Country:US
Practice Address - Phone:408-245-5101
Practice Address - Fax:408-245-5120
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8906T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU82063Medicare UPIN