Jerry Arnett Yasuda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8357 Issued in CA

Practice address

3300 South Fairway Ave
Visalia, CA 93277

Phone

(559) 732-6687

Fax

(559) 732-6633

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Jerry Yasuda,O.D. Inc.

  • Optometrist
  • Visalia, CA
  • NPI 1780940981
  NPD (past) Authorized official
• County of Tulare

  • Community/Behavioral Health Agency
  • Porterville, CA
  • NPI 1518418581
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1558401810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778109",
            "telephone_number": "559-732-6687",
            "fax_number": "559-732-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SOUTH FAIRWAY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-732-6687",
            "fax_number": "559-732-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASUDA",
        "first_name": "JERRY",
        "middle_name": "ARNETT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SDOO83570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xengxue Yang, PHARM D
• Max Yankes, MD
• Yao Liu MD Inc (Helen Yao Liu MD Inc)
• Leoncio Paciente Yap Jr., NP
• Lola Yarbrough, RN
• Ybarra Chiropractic Inc
• Ronald Paul Ybarra, DC
• Stephanie Janae Ybarra, CPO, CFM
• Jacqueline Kim Yeager, DO
• Varvara M Yefymenko

• Optometrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.