MEDICARE: DR. CHERYL M YOKOYAMA M.D., P.S.

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	MD00024872	WA

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	:	1841350691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL M YOKOYAMA M.D., P.S.

Provider Business Mailing Address
First Line	:	PO BOX 97115
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98497-0115
Country	:	US
Telephone Number	:	253-588-7911
Fax Number	:	253-984-6774

Provider Business Practice Location Address
First Line	:	2603 BRIDGEPORT WAY W
Second Line	:	SUITE F
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-4724
Country	:	US
Telephone Number	:	253-564-4073
Fax Number	:	253-566-0219

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	11/24/2009

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