Provider Demographics
NPI:1194490508
Name:KEI, JEREMY YEE-WEI (OD)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:YEE-WEI
Last Name:KEI
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 SPENCER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-9304
Mailing Address - Country:US
Mailing Address - Phone:702-452-2020
Mailing Address - Fax:702-360-1123
Practice Address - Street 1:1000 N GREEN VALLEY PKWY STE 420
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6172
Practice Address - Country:US
Practice Address - Phone:702-452-2020
Practice Address - Fax:702-673-5786
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1104152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist