Provider Demographics
NPI:1184751265
Name:YOSHIMURA, TERI TSUCHIYA (OD)
Entity type:Individual
Prefix:DR
First Name:TERI
Middle Name:TSUCHIYA
Last Name:YOSHIMURA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3130 222ND PL SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-7215
Mailing Address - Country:US
Mailing Address - Phone:425-369-9961
Mailing Address - Fax:425-391-9331
Practice Address - Street 1:1145 NW GILMAN BLVD # G-12
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8974
Practice Address - Country:US
Practice Address - Phone:425-391-9331
Practice Address - Fax:425-391-9331
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD0003272152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist