Individual
DR. DEAN K NISHIJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5770 N 1ST ST, FRESNO, CA 93710-6204
(559) 432-1700
(559) 435-9521
Mailing address
5770 N 1ST ST, FRESNO, CA 93710-6204
(559) 432-1700
(559) 435-9521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7022T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558300772
—
CA
01
—
SD0070221
MEDICARE ID - TYPE UNSPECIFIED
CA
Enumeration date
06/05/2006
Last updated
06/03/2008
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