Organization Active NPI

Dr Shaw Yorizane Jr OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1487719217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06146T Issued in CA
Legal business name
DR SHAW YORIZANE JR OD
Practice address
7411 N Cedar Ave
Ste 102
Fresno, CA 93720-3835
Phone
(559) 447-5522
Fax
(559) 447-5525
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shaw Yorizane Jr, OD
Title
Optometrist
Phone
(559) 447-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 06146T CA Primary

Addresses

Primary practice location

7411 N Cedar Ave
Ste 102
Fresno, CA 93720-3835

Mailing address

7411 N Cedar Ave
Ste 102
Fresno, CA 93720-3835
Phone (559) 447-5522

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2071012Shaw Yorizane Jr OD7411 N Cedar Ave Ste 102, Fresno, CA 93720Certificate of waiverDec 30, 2027

National Provider Directory

National Provider Directory

Locations

7411 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 447-5522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487719217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 N CEDAR AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203835",
            "telephone_number": "559-447-5522",
            "fax_number": "559-447-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 N CEDAR AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203835",
            "telephone_number": "559-447-5522",
            "fax_number": "559-447-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHAW YORIZANE JR OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YORIZANE JR",
        "authorized_official_first_name": "SHAW",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "559-447-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "06146T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.