Active NPI
Wayne Kajimura, O.D.
- Optometrist
- Mission Viejo, CA
National Provider Identifier
1881747327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T7972
- Practice address
- 555 Shops at Mission Viejo
Ste 30 Shops at Mission Viejo
Mission Viejo, CA 92691 - Phone
- (949) 364-4010
- Fax
- (949) 364-4001
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 8, 2007
- 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 | T7972 | CA | Primary |
Addresses
Primary practice location
555 Shops at Mission Viejo
Ste 30 Shops at Mission Viejo
Mission Viejo, CA 92691
Mailing address
2920 Garden Bar Rd
Lincoln, CA 95648-9746
Phone (916) 802-8779
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 |
|---|---|---|---|
| T7972 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881747327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 GARDEN BAR RD",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956489746",
"telephone_number": "916-802-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SHOPS AT MISSION VIEJO",
"address_2": "STE 30 SHOPS AT MISSION VIEJO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-364-4010",
"fax_number": "949-364-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAJIMURA",
"first_name": "WAYNE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "T7972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
- Robert Mark Kachenmeister, M.D.
- Hamida Kader
- Kagalwala Professional Dental Inc. (Trabuco Hills Dentistry)
- Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy 364)
- Kaizen Conscious Living & Family Therapy, Profession Corporation (Kimberly J Cravotta-Purvis)
- Arshia Kalantari, DDS
- Mikaeya Kalantari, DDS
- Ponnappa Kalimada, MD
- Vanessa Maria Kalis, NP
- Demyana Fahmy Nassif Kamel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.