DR. NANCY TANG IMAMOTO (NPI# 1790768794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790768794 |
| Entity Type | Individual |
| Full Name | DR. NANCY TANG IMAMOTO |
| Credential | O.D. |
| Practice Address |
1713 W Artesia Blvd Gardena CA 90248-3220 |
| Practice Telephone | 3103294128 |
| Practice Fax Number | 3103299180 |
| Mailing Telephone | 3103294128 |
| Mailing Fax Number | 3103299180 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 11361T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL EYE SERVICES | 16618 | 01 |
| CA | EYEMED | CA1361 | 01 |
| Street Address |
1713 W ARTESIA BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184008294 | Nancy T Imamoto Od PC | Optometrist | 1713 W Artesia Blvd, Gardena, CA 90248-3220 | 2015-07-17 |
| 1063719714 | Joel Goodman Od A Prof Corp | Optometrist | 1713 W Artesia Blvd, Gardena, CA 90248-3220 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1114581881 | Michael Kobayashi, Od Professional Corporation | Optometrist | 18204 S Western Ave, Gardena, CA 90248-3819 | 2019-04-27 |
| 1962955567 | Amy H. Ishigo | Optometrist | 1425 W Artesia Blvd Ste 32, Gardena, CA 90248-3230 | 2016-07-29 |
| 1942611199 | Jerry S. Wake, O.d., Inc. | Optometrist | 1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247-3200 | 2014-05-09 |
| 1851679716 | Jasmine Ardeshir Hamid | Optometrist | 1141 W Redondo Beach Blvd Ste 101, Gardena, CA 90247-3585 | 2011-07-26 |
| 1457519100 | Almar Vista Inc | Optometrist | 14506 S Crenshaw Blvd, Gardena, CA 90249-3158 | 2008-05-29 |
| 1376685958 | Peter Hoa Nguyen | Optometrist | 14506 Crenshaw Blvd, Gardena, CA 90249-3158 | 2007-02-12 |
| 1386740447 | Joel David Goodman | Optometrist | 1713 W Artesia Blvd., Gardena, CA 90248-3220 | 2006-09-16 |
| 1679678965 | Michael Herman O.d. Inc | Optometrist | 18203 S Western Ave Ste 102, Gardena, CA 90248 | 2006-09-13 |
| 1720052392 | Amy Jo Calder | Optometrist | 1142 W Redondo Beach Blvd, Gardena, CA 90247-3538 | 2006-02-13 |
| Find all providers in GARDENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.