Nishio, Wayne Alan
Nishio, Wayne Alan is an sole proprietor health care provider with primary practice located at 145 N Clovis Ave Ste 101 , Clovis CA 93612-0361. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nishio, Wayne Alan can be contacted via phone (559) 299-3179.Contact Information
Primary practice address
145 N Clovis Ave Ste 101
Clovis CA 93612-0361
Phone: (559) 299-3179
Fax: (559) 299-3741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7298T | California |
Profile Details
| NPI number | 1952381907 |
|---|---|
| LBN Legal business name | Nishio, Wayne Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952381907 | NPPES |
| California | MEDICAID | SD0072980 |
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