Individual
MIKE YUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
229 9TH ST APT 204, BROOKLYN, NY 11215-7495
(917) 378-6995
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011209
NY
Other
Enumeration date
05/13/2025
Last updated
07/16/2025
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