| Dr Keith Yamanishi, OD | |
|
10535 Hospital Way Bldg 720, Mather, CA 95655-4200 | |
| (916) 366-5463 | |
| Not Available |
| Full Name | Dr Keith Yamanishi |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 10535 Hospital Way Bldg 720, Mather, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043259849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT9381 (California) | Primary |
| Provider Name | Lewis S Bliss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417908062 PECOS PAC ID: 4981613924 Enrollment ID: I20060420000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Yamanishi, OD 2169 Nugget Creek Ct, Gold River, CA 95670-8127 Ph: (916) 501-1032 | Dr Keith Yamanishi, OD 10535 Hospital Way Bldg 720, Mather, CA 95655-4200 Ph: (916) 366-5463 |
Benjamin I Graham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-366-5463 | |
Dr. Wesley Takashi Ota, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-366-5466 | |
Dr. Gina G. Wong, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10535 Hospital Way, 112 / I, Mather, CA 95655 Phone: 916-366-5463 Fax: 916-364-0187 |