Provider Demographics
NPI:1073666731
Name:YOST, PAUL F JR (OD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:YOST
Suffix:JR
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 1:431 N IRWIN ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4425
Mailing Address - Country:US
Mailing Address - Phone:553-582-9244
Mailing Address - Fax:553-582-2748
Practice Address - Street 1:431 N IRWIN ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4425
Practice Address - Country:US
Practice Address - Phone:553-582-9244
Practice Address - Fax:553-582-2748
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5974T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT10186Medicare UPIN