Provider Demographics
NPI:1982707808
Name:ROMERO, YAIMI (OD)
Entity type:Individual
Prefix:
First Name:YAIMI
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N HAWKHURST CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3288
Mailing Address - Country:US
Mailing Address - Phone:832-302-4110
Mailing Address - Fax:
Practice Address - Street 1:6704 STERLING RIDGE DR STE D
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:281-465-8300
Practice Address - Fax:218-465-8303
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR610152W00000X
TX8207T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0056636Medicare ID - Type Unspecified
PR0056636Medicare PIN