Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Haiime Nishimoto, OD

Individual provider Optometrist · NPI 1366556250

Dr. John Haiime Nishimoto, OD is an Optometry in Fullerton, California. Graduated from Southern California College of Optometry in 1987, 39 years ago. Practices with Marshall B Ketchum University, a 55-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2575 Yorba Linda Blvd
Fullerton, CA 92831-1699
Phone: (714) 449-7409
Fax: (714) 992-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8821TPA (CA)

Record details

NPI number1366556250
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1987 (39 years in practice)
Group practice Marshall B Ketchum University — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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