Provider Demographics
NPI:1952756678
Name:TO, WILLIAM YUAN (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:YUAN
Last Name:TO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Middle Name:
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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
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34153TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist