Provider Demographics
NPI:1538258959
Name:YOKOI, SCOTT KIYOTO (OD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:KIYOTO
Last Name:YOKOI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1416
Mailing Address - Country:US
Mailing Address - Phone:510-655-3797
Mailing Address - Fax:510-655-3701
Practice Address - Street 1:5321 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1416
Practice Address - Country:US
Practice Address - Phone:510-655-3797
Practice Address - Fax:510-655-3701
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8615T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0086150Medicaid
CAU28167Medicare UPIN
CASD0086150Medicaid