NPIMap

Organization Active NPI

Wayne a. Nishio, O.D.

  • Optometrist
  • Clovis, CA
National Provider Identifier
1750617940
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7298T Issued in CA
Legal business name
WAYNE A. NISHIO, O.D.
Practice address
145 N Clovis Ave
Suite 101
Clovis, CA 93612-0361
Phone
(559) 299-3179
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Wayne NishioNPI 1952381907
Title
Owner
Phone
(559) 299-3179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7298T CA Primary

Addresses

Primary practice location

145 N Clovis Ave
Suite 101
Clovis, CA 93612-0361

Mailing address

145 N Clovis Ave
Suite 101
Clovis, CA 93612-0361
Phone (559) 299-3179

National Provider Directory

National Provider Directory

Locations

145 N Clovis Ave
Ste 101
Clovis, CA 93612
Phone (559) 298-2120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1750617940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N CLOVIS AVE",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120361",
            "telephone_number": "559-299-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N CLOVIS AVE",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120361",
            "telephone_number": "559-299-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE A. NISHIO, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "NISHIO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-299-3179"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7298T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.