Dean K Nishijima, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7022T Issued in CA

Practice address

5770 N 1St St
Fresno, CA 93710-6204

Phone

(559) 432-1700

Fax

(559) 435-9521

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1558300772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106204",
            "telephone_number": "559-432-1700",
            "fax_number": "559-435-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106204",
            "telephone_number": "559-432-1700",
            "fax_number": "559-435-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIJIMA",
        "first_name": "DEAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7022T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "SD0070221",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558300772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Nile, M.D.
• Bjorn Nilson
• Rami Nious-Flores
• Nirmal S. Brar M.D.
• Tomoko Nishida
• Nishikawa and Lowe Surgical Services Medical Group, Inc
• Katy Nishikawa, PHARM.D.
• Dee Christiaan Nishimine, DDS
• Lyn Nishimura, PHARM.D.
• Amanda Niu, PA-C

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.