Provider Demographics
NPI:1972534907
Name:AKERA, YUKAKO (OD)
Entity type:Individual
Prefix:DR
First Name:YUKAKO
Middle Name:
Last Name:AKERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:YUKAKO
Other - Middle Name:AKERA
Other - Last Name:DIORIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:157 PARROTT ST
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4813
Mailing Address - Country:US
Mailing Address - Phone:510-483-2020
Mailing Address - Fax:510-351-5008
Practice Address - Street 1:157 PARROTT ST
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4813
Practice Address - Country:US
Practice Address - Phone:510-483-2020
Practice Address - Fax:510-351-5008
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9736T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0097360Medicare PIN
CAU25172Medicare UPIN
CA4128440001Medicare NSC