Provider Demographics
NPI:1902111511
Name:YANG, CHUEMAI (OD)
Entity Type:Individual
Prefix:DR
First Name:CHUEMAI
Middle Name:
Last Name:YANG
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 1:1201 W ESPLANADE AVE APT 224
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4937
Mailing Address - Country:US
Mailing Address - Phone:612-298-7150
Mailing Address - Fax:
Practice Address - Street 1:3301 VETERANS BLVD
Practice Address - Street 2:JCPENNYOPTICAL
Practice Address - City:METARIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-833-8042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1602-635T152W00000X
MN3201152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist