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DR. GLENN SHIGERU NAKAYAMA O.D. NPI 1104897610


NPI Information

NPI: 1104897610
Provider Name: DR. GLENN SHIGERU NAKAYAMA, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
100 E HUNTINGTON DR
SUITE 102
ALHAMBRA, CA
ZIP 91801
Phone: (626) 289-9171
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DR. Glenn Shigeru Nakayama, O.D. is an optometrist in Alhambra, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Glenn Shigeru Nakayama, O.D. NPI is 1104897610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 E HUNTINGTON DR
SUITE 102
ALHAMBRA, CA
ZIP 91801-022
Phone: (626) 289-9171
Fax: (626) 289-1026

The enumeration date for this NPI number is 2/1/2006 and was last updated on 8/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPT6521TPLCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OP6521MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2SD0065210MEDICAIDCALIFORNIA
3410022583MEDICARE PINCALIFORNIA
4T70116MEDICARE UPIN
50209000001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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