Iles, Vivian Yen

Iles, Vivian Yen is an sole proprietor health care provider with primary practice located at 302 Northgate Dr , Manteca CA 95336-3139. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Iles, Vivian Yen can be contacted via phone (866) 682-4842.

Contact Information

Primary practice address
302 Northgate Dr Manteca CA 95336-3139
Phone: (866) 682-4842
Fax: (209) 239-5295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0003002 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X OPT15424-TLG California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 15424 California

Profile Details

NPI number 1952604357
LBN Legal business name Iles, Vivian Yen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2010
Last updated Feb 11th, 2022 - about 4 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.

Request for update

Popular Providers