Nikki Antoinette Yee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2836 Issued in CT

Practice address

1156 Boston Post Rd
Old Saybrook, CT 06475-4405

Phone

(860) 388-2020

Fax

(860) 388-0889

NPI assigned

May 11, 2011

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1396037107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754405",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754405",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "NIKKI",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2836",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "2836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396037107",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Stephen Wilson, DDS
• Cynthia Rose Wojtkowiak, RN IBCLC
• Laurel Wood, LCSW
• John Michael Woznicki, PT
• Diane Wright, APRN
• Jayne Young, OT
• Donald Kevin Zettervall, RPH, CDE, CDM
• Joan Ziemann
• Lorraine Zimmerman, APRN

• Optometrist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.