Dr Ted Kiyotoshi Nishimura, OD - Optometrist in Burbank, CA

Dr Ted Kiyotoshi Nishimura, OD is a Optometrist based in Burbank, California. Dr Ted Kiyotoshi Nishimura is licensed to practice in California (license number 10983T) and his current practice location is 1051 W Burbank Blvd, Burbank, California. He can be reached at his office (for appointments etc.) via phone at (818) 841-7055.

NPI number for Dr Ted Kiyotoshi Nishimura is 1912279787 and his current mailing address is 5175 Dawes Ave, Culver City, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912279787.

Contact Information

Dr Ted Kiyotoshi Nishimura, OD
1051 W Burbank Blvd,
Burbank, CA 91506-1421
(818) 841-7055
(818) 841-7058

Map and Direction




Healthcare Provider's Profile

Full NameDr Ted Kiyotoshi Nishimura
GenderMale
SpecialityOptometrist
Location1051 W Burbank Blvd, Burbank, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912279787
  • Provider Enumeration Date: 02/08/2012
  • Last Update Date: 02/08/2012

Medical Identifiers

Medical identifiers for Dr Ted Kiyotoshi Nishimura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912279787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10983T (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ted Kiyotoshi Nishimura is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ted Kiyotoshi Nishimura, OD
5175 Dawes Ave,
Culver City, CA 90230-6011

Ph: (310) 398-9076
Dr Ted Kiyotoshi Nishimura, OD
1051 W Burbank Blvd,
Burbank, CA 91506-1421

Ph: (818) 841-7055

Reviews and Comments


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