Yin Yin Yuen, O.D.
Individual provider Active NPI Optometrist · Avon, MA
NPI 1508938655 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508938655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4237 (MA)
- Practice address
- 30 Memorial Dr
Avon, MA 02322-1919 - Phone
- (508) 587-8391
- Fax
- (508) 587-5317
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4237 | MA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4237 | MA | Yes |
Addresses
Primary practice location
30 Memorial Dr
Avon, MA 02322-1919
Mailing address
3 Pelham Rd
Natick, MA 01760-2408
Phone (617) 549-2816
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0335169 | Medicaid | MA |
Other providers in Avon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.