Individual provider Active NPI

Teri Tsuchiya Yoshimura, O.D.

  • Optometrist
  • Issaquah, WA
National Provider Identifier
1184751265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0003272 Issued in WA
Practice address
1145 NW Gilman Blvd # G-12
Issaquah, WA 98027-8974
Phone
(425) 391-9331
Fax
(425) 391-9331
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0003272 WA Primary

Addresses

Primary practice location

1145 NW Gilman Blvd # G-12
Issaquah, WA 98027-8974

Mailing address

3130 222ND PL SE
Sammamish, WA 98075-7215
Phone (425) 369-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000163 WA Practitioner - Optometry 0143235341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Issaquah Eyeworks LLCGroup PAC ID 1456366657, 6 clinicians

Practice addresses (Care Compare)

1145 NW Gilman Blvd
Suite G12
Issaquah, WA 98027-8932
Phone (425) 391-9331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0003272WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Issaquah Eyeworks, LLC Optometrist CurrentSince Apr 29, 1997 Accepting new patients

Locations

1145 NW Gilman Blvd
Ste G12
Issaquah, WA 98027
Phone (425) 391-9331

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184751265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 222ND PL SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757215",
            "telephone_number": "425-369-9961",
            "fax_number": "425-391-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 NW GILMAN BLVD # G-12",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278974",
            "telephone_number": "425-391-9331",
            "fax_number": "425-391-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIMURA",
        "first_name": "TERI",
        "middle_name": "TSUCHIYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD0003272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.