Individual
DR. BEVERLY NISHITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
417 N EUCLID AVE, ONTARIO, CA 91762-3427
(909) 986-9951
(909) 986-9812
Mailing address
417 N EUCLID AVE, ONTARIO, CA 91762-3427
(909) 986-9951
(909) 986-9812
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10183T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2480
DAVIS VISION PIN
CA
01
—
9V12089
INDIVIDUAL IEHP PIN
CA
05
—
SD0101830
—
CA
Enumeration date
02/28/2006
Last updated
03/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us