Provider Demographics
NPI:1790898815
Name:TEKESTE, YOSEF (OD)
Entity Type:Individual
Prefix:PROF
First Name:YOSEF
Middle Name:
Last Name:TEKESTE
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 1:31713 3RD PL S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5202
Mailing Address - Country:US
Mailing Address - Phone:206-853-6844
Mailing Address - Fax:
Practice Address - Street 1:24800 PACIFIC HWY S STE 2
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-5402
Practice Address - Country:US
Practice Address - Phone:253-946-4469
Practice Address - Fax:253-946-4499
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3796152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist