Healthcare Provider Details

I. General information

NPI: 1487845731
Provider Name (Legal Business Name): GARNET MICHIKO YOKOI O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 A COTTAGE AVE
CASHMERE WA
98815
US

IV. Provider business mailing address

3782 BUCK HAVEN LN
WENATCHEE WA
98801-5007
US

V. Phone/Fax

Practice location:
  • Phone: 509-888-5877
  • Fax:
Mailing address:
  • Phone: 775-737-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3231AT
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number621
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number3231AT
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number621
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number3231AT
License Number StateOR
# 6
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number621
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: