Provider Demographics
NPI:1316085061
Name:YAO, ALBERT (OD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W SHAW AVE
Mailing Address - Street 2:#B
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2816
Mailing Address - Country:US
Mailing Address - Phone:559-225-0848
Mailing Address - Fax:
Practice Address - Street 1:20 W SHAW AVE
Practice Address - Street 2:#B
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2816
Practice Address - Country:US
Practice Address - Phone:559-225-0848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10568T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist