DR. GORDON KIYOSHI OTA O.D.
NPI 1154392470
Optometrist in Fountain Valley, CA

Q: What is Gordon Ota's NPI number?

The NPI number for Gordon Ota is 1154392470. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Gordon Ota's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Ota was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2006

10130 WARNER AVE, SUITE J, FOUNTAIN VALLEY, CA 92708(714) 965-5130 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Gordon Kiyoshi Ota O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GORDON KIYOSHI OTA O.D. (NPI 1154392470) is an individual optometrist in Fountain Valley, California, licensed in California (T7549) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1154392470

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GORDON KIYOSHI OTACredential: O.D.

Location Address10130 WARNER AVE, SUITE JFountain Valley, CA 92708-1619

Mailing Address10130 Warner Ave, Suite JFountain Valley, CA 92708-1619 · (714) 965-5130

Phone(714) 965-5130

Sole ProprietorNo

Enumeration DateJanuary 27, 2006

Last NPPES UpdateSeptember 5, 2012

✔ NPI 1154392470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · T7549

Definition

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.

10130 WARNER AVE, Fountain Valley, CA 92708

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Other Identifiers 3

Medicare UPINT70206CA

Medicare ID-Type UnspecifiedY1831CA

MedicaidSD0075490CA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HARRIET G. STALLINGS O.D.

Optometrist

10130 WARNER AVE, SUITE J
FOUNTAIN VALLEY, CA 92708

Orange County (714) 965-5130

DR. SHAABAN ABDELGHANI SAKR DDS

Dentist (General Practice)

10130 WARNER AVE, SUITE #F
FOUNTAIN VALLEY, CA 92708

Orange County (714) 378-5950

KEVIN NAM KIEU D.D.S., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

10130 WARNER AVE, SUITE I
FOUNTAIN VALLEY, CA 92708

Orange County (714) 965-9553

ALISON NORITAKE O.D.

Optometrist

10130 WARNER AVE, SUITE J
FOUNTAIN VALLEY, CA 92708

Orange County (714) 965-5130

LANH M. PHUNG, M.D. INC.

Anesthesiology

10130 WARNER AVE, SUITE B
FOUNTAIN VALLEY, CA 92708

Orange County (714) 766-6503

DR. LANH MANH PHUNG M.D.

Anesthesiology

10130 WARNER AVE, SUITE B
FOUNTAIN VALLEY, CA 92708

Orange County (714) 766-6503

PHAM PHYSICAL THERAPY SERVICES INC

Physical Therapist

10130 WARNER AVE, SUITE C
FOUNTAIN VALLEY, CA 92708

Orange County (714) 775-3188

GORDON K. OTA, O.D. A PROFESSIONAL CORPORATION

Optometrist

10130 WARNER AVE, SUITE J
FOUNTAIN VALLEY, CA 92708

Orange County (714) 965-5130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Ota's NPI number?

The NPI number for Gordon Ota is 1154392470. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Gordon Ota located?

Gordon Ota practices at 10130 Warner Ave Suite J, Fountain Valley, CA 92708. The listed phone number is (714) 965-5130.

What is Gordon Ota's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Gordon Ota was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.