Douglas J Nishida, OD, a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

10841T Issued in CA

Legal business name

DOUGLAS J NISHIDA, OD, A PROFESSIONAL CORPORATION

Practice address

13463 Washington Blvd
Marina del Rey, CA 90292-5658

Phone

(310) 821-8382

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Doug Nishida, OD

Title

President

Phone

(310) 821-8382

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1811246747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13463 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925658",
            "telephone_number": "310-821-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13463 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925658",
            "telephone_number": "310-821-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J NISHIDA, OD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "NISHIDA",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-821-8382",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10841T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin DO
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• Christelle Joelle Doktor, C.M.T
• Dominique Mall,MD,Inc
• Roger Frederic Donenfeld, M.D.
• Melissa Dowling, CRNA
• Angelica Duenas, M.D.
• Dura Group
• Sophia Dvorkina, MS.SPED,
• DW Management Enterprises Inc.

• Optometrist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.