Provider Demographics
NPI:1518938307
Name:KAME, GREGORY YUJI (OD FAAO)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:YUJI
Last Name:KAME
Suffix:
Gender:M
Credentials:OD FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27271 LAS RAMBLAS STE 210
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8041
Mailing Address - Country:US
Mailing Address - Phone:496-527-2339
Mailing Address - Fax:714-878-0866
Practice Address - Street 1:334B E 2ND ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-4203
Practice Address - Country:US
Practice Address - Phone:213-628-7419
Practice Address - Fax:213-620-9110
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11157T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOP11157AOtherPTIN
CAWOP11157AOtherPTIN