Organization Active NPI

Jill M Yamada & Matthew M Nishio, Optometric Corporation

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1053742338
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11432T Issued in CA
Legal business name
JILL M YAMADA & MATTHEW M NISHIO, OPTOMETRIC CORPORATION
Practice address
4433 Florin Rd
Suite 890
Sacramento, CA 95823-2527
Phone
(916) 393-5151
Fax
(916) 392-6130
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Nishio, O.D.NPI 1124041801
Title
Ceo
Phone
(916) 393-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11432T CA Primary

Addresses

Primary practice location

4433 Florin Rd
Suite 890
Sacramento, CA 95823-2527

Mailing address

4433 Florin Rd
Suite 890
Sacramento, CA 95823-2527
Phone (916) 393-5151

National Provider Directory

National Provider Directory

Locations

4433 Florin Rd
Ste 890
Sacramento, CA 95823
Phone (916) 392-3121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1053742338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 FLORIN RD",
            "address_2": "SUITE 890",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232527",
            "telephone_number": "916-393-5151",
            "fax_number": "916-392-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 FLORIN RD",
            "address_2": "SUITE 890",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232527",
            "telephone_number": "916-393-5151",
            "fax_number": "916-392-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL M YAMADA & MATTHEW M NISHIO, OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "NISHIO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-393-5151",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11432T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.