Active NPI
Roger Takeshi Nomura, O.D.
- Optometrist
- Norwalk, CA
National Provider Identifier
1861564254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9059T
- Practice address
- 11729 Imperial Hwy
Norwalk, CA 90650-2819 - Phone
- (562) 929-3923
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9059T | CA | Primary |
Addresses
Primary practice location
11729 Imperial Hwy
Norwalk, CA 90650-2819
Mailing address
11729 Imperial Hwy
Norwalk, CA 90650-2819
Phone (626) 888-1368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9059T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1861564254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11729 IMPERIAL HWY",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502819",
"telephone_number": "626-888-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11729 IMPERIAL HWY",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502819",
"telephone_number": "562-929-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOMURA",
"first_name": "ROGER",
"middle_name": "TAKESHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9059T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.