MEDICARE: DR. SCOTT KIYOTO YOKOI O.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
1	152W00000X	Optometrist	8615T	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	:	1538258959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT KIYOTO YOKOI O.D.

Provider Business Mailing Address
First Line	:	5321 COLLEGE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1416
Country	:	US
Telephone Number	:	510-655-3797
Fax Number	:	510-655-3701

Provider Business Practice Location Address
First Line	:	5321 COLLEGE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1416
Country	:	US
Telephone Number	:	510-655-3797
Fax Number	:	510-655-3701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	11/16/2016

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