Yearwood, Renee D.
Yearwood, Renee D. is an individual health care provider with primary practice located at 4422 3Rd Ave 7Th Floor, Eye Clinic, Bronx NY 10457-2545. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Yearwood, Renee D. can be contacted via phone (718) 960-6389.Contact Information
Primary practice address
4422 3Rd Ave 7Th Floor, Eye Clinic
Bronx NY 10457-2545
Phone: (718) 960-6389
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005506 | New York |
Profile Details
| NPI number | 1508833260 |
|---|---|
| LBN Legal business name | Yearwood, Renee D. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508833260 | NPPES |
| New York | MEDICAID | 01484591 |
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