Wayne Alan Nishio, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7298T Issued in CA

Practice address

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

Phone

(559) 299-3179

Fax

(559) 299-3741

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952381907",
    "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",
            "fax_number": "559-299-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N CLOVIS AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120361",
            "telephone_number": "559-299-3179",
            "fax_number": "559-299-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIO",
        "first_name": "WAYNE",
        "middle_name": "ALAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7298T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mailan Nguyen
• Tram Nguyen
• Trung Tan Nguyen, D.O.,M.B.A.
• Melissa Nickeson, RDA
• Ross M Nishijima, DPM
• Brian J. Nitta, P.T.
• Carl Lexcille C. Nolasco
• Kristina Noriega
• Kimberly Jade Norrid
• Norris Von Curl MD Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.