Medicare Supplier WAYNE NISHIO Details

Globally Unique Supplier Identifier: 20673983

medicare equipment supplier status:  active since 1990-04-01

Supplier: WAYNE NISHIO

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20673983
Globally Unique Supplier Identifier
Company Name WAYNE NISHIO
Supplier Company Name
Doing Business As (DBA) WAYNE A NISHIO OD
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 1990-04-01
Participation Begin Date
Address Line 145 N CLOVIS AVE STE 101
Delivery Address Line
City CLOVIS
Business Address City
State CA
Business Address State
Zip 93612-0361
Business Address Zip
Phone Number 559-299-3179
Business Phone Number
Specialities List
  • Optometrist
Specialities List
Product Category Name(s)
  • Prosthetic Lenses: Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses
  • Prosthetic Lenses: Prosthetics Cataract Lenses
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 36.83303
Business Practice Latitude
Longitude -119.69987
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

Directions to the ❝WAYNE NISHIO❞ location

Starting point (Yours Location) Destination (Facility Location)

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