Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912279787 Individual Practitioner Male Practitioner

Dr. Ted Kiyotoshi Nishimura , OD

Optometrist • Burbank, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ted Nishimura, OD is a registered healthcare professional specializing in Optometrist in Burbank, CA. Practice services are available at 1051 W BURBANK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1051 W Burbank Blvd

Burbank, CA 915061421

Telephone 8188417055
Fax 8188417058
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1508976101

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Burbank, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Burbank, CA (8588 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 10983T

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1144906488

Doctor of Optometry

NPI 1386026102

Doctor of Optometry

NPI 1760375307

Doctor of Optometry

NPI 1922301456

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2012

Registered at 1051 W BURBANK BLVD, BURBANK, CA 915061421 (Tel: 8188417055)

📍
Updated Business Mailing Address February 08, 2012

Registered at 5175 DAWES AVE, CULVER CITY, CA 902306011 (Tel: 3103989076)

👤
Provider Name / Credentials Updated February 08, 2012

Recorded as TED NISHIMURA, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2012

Optometrist (License #10983T in CA)

🟢
Initial NPI Registration & Enumeration February 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912279787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2012
Last Update: February 08, 2012
Sole Proprietor: No

Mailing Address

5175 Dawes Ave

Culver City, CA 902306011

Phone: 3103989076

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.