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NPI Code Detail

MEDICARE: DR. SHAW YORIZANE JR. O.D., F.C.O.V.D.

MEDICARE: DR. SHAW YORIZANE JR. O.D., F.C.O.V.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist06146TCA

General Provider Information

NPI Number : 1578530747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAW YORIZANE JR. O.D., F.C.O.V.D.
Provider Business Mailing Address
First Line : 7411 N CEDAR AVE
Second Line : SUITE 102
City : FRESNO
State : CA
Zip : 93720-3637
Country : US
Telephone Number : 559-447-5522
Fax Number : 559-447-5525
Provider Business Practice Location Address
First Line : 7411 N CEDAR AVE
Second Line : SUITE 102
City : FRESNO
State : CA
Zip : 93720-3637
Country : US
Telephone Number : 559-447-5522
Fax Number : 559-447-5525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 11/10/2009

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