Provider Demographics
NPI:1982804878
Name:YEE, SARA (OD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:YEE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 BROADWAY LN
Mailing Address - Street 2:BROADWAY EYEWORKS OPTOMETRY
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5104
Mailing Address - Country:US
Mailing Address - Phone:925-930-7484
Mailing Address - Fax:
Practice Address - Street 1:81 BROADWAY LN
Practice Address - Street 2:BROADWAY EYEWORKS OPTOMETRY
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5104
Practice Address - Country:US
Practice Address - Phone:925-930-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13339152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist