Individual
VANIA YIP BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1404 ATWOOD AVE, JOHNSTON, RI 02919-4841
(401) 943-6000
(401) 943-6017
Mailing address
50 PARK ROW W APT 312, PROVIDENCE, RI 02903-1145
(714) 914-4554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003289
VA
152W00000X
Optometrist
5063
MA
152W00000X
Optometrist
CODTG00674
RI
152W00000X
Optometrist
OPT 14478 TLG
CA
Other
Enumeration date
09/06/2012
Last updated
12/18/2024
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