Individual provider Active NPI

Shaw Yorizane Jr., O.D., F.C.O.V.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1578530747
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06146T Issued in CA
Practice address
7411 N Cedar Ave
Suite 102
Fresno, CA 93720-3637
Phone
(559) 447-5522
Fax
(559) 447-5525
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06146T CA Primary

Addresses

Primary practice location

7411 N Cedar Ave
Suite 102
Fresno, CA 93720-3637

Mailing address

7411 N Cedar Ave
Suite 102
Fresno, CA 93720-3637
Phone (559) 447-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091023000399 CA Practitioner - Optometry 7810034816 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06146TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Shaw Yorizane Jr OD Optometrist PastSince Jan 1, 1990 Accepting new patients

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1578530747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 N CEDAR AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203637",
            "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": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203637",
            "telephone_number": "559-447-5522",
            "fax_number": "559-447-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORIZANE",
        "first_name": "SHAW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D., F.C.O.V.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "06146T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.