MEDICARE: HARVEY H YAMAMOTO, OD, INC.

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
1	152W00000X	Optometrist	10183T	CA
2	152W00000X	Optometrist	11326T	CA
3	152W00000X	Optometrist	4477T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447227384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEY H YAMAMOTO, OD, INC.

Provider Business Mailing Address
First Line	:	417 N EUCLID AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3427
Country	:	US
Telephone Number	:	909-986-9951
Fax Number	:	909-986-9812

Provider Business Practice Location Address
First Line	:	417 N EUCLID AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3427
Country	:	US
Telephone Number	:	909-986-9951
Fax Number	:	909-986-9812

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. HARVEY H. YAMAMOTO
Credential	:	OD
Telephone Number	:	909-986-9951

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	05/01/2024

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Directions to “HARVEY H YAMAMOTO, OD, INC. ” Practice Location

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