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MICHELLE R KISHIMOTO O.D. NPI 1417007014


NPI Information

NPI: 1417007014
Provider Name: MICHELLE R KISHIMOTO, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
1815 HAWTHORNE BLVD
STE 236 GALLERIA AT SOUTH BAY
REDONDO BEACH, CA
ZIP 90278
Phone: (310) 370-1618
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Michelle R Kishimoto, O.D. is an optometrist in Redondo Beach, 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. Michelle R Kishimoto, O.D. NPI is 1417007014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1815 HAWTHORNE BLVD
STE 236 GALLERIA AT SOUTH BAY
REDONDO BEACH, CA
ZIP 90278-424
Phone: (310) 370-1618
Fax: (310) 371-3126

The enumeration date for this NPI number is 1/12/2007 and was last updated on 7/8/2007.


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
1152W00000XOptometrist11949TCALIFORNIAYes

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
1U92696MEDICARE UPINCALIFORNIA
2WOP11949MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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