MICHELLE R KISHIMOTO O.D.
NPI 1417007014
Optometrist in Redondo Beach, CA

Active since January 12, 2007
1815 HAWTHORNE BLVD, STE 236 GALLERIA AT SOUTH BAY, REDONDO BEACH, CA 90278(310) 370-1618(310) 371-3126 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle R Kishimoto O.d. NPPES

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

MICHELLE R KISHIMOTO O.D. (NPI 1417007014) is an individual optometrist in Redondo Beach, California, licensed in California (11949T) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417007014
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMICHELLE R KISHIMOTOCredential: O.D.
Location Address1815 HAWTHORNE BLVD, STE 236 GALLERIA AT SOUTH BAYRedondo Beach, CA 90278-3424
Mailing Address17868 Hazelwood CtCarson, CA 90746-7481 · (310) 886-0346
Fax(310) 371-3126
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1417007014 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 · 11949T
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.

1815 HAWTHORNE BLVD, Redondo Beach, CA 90278

Other Identifiers 2

Medicare UPINU92696CA
Medicare ID-Type UnspecifiedWOP11949CA

Other Providers at the Same Location NPPES 5

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

Optometrist
1815 HAWTHORNE BLVD, STE 236
REDONDO BEACH, CA 90278
Eyewear Supplier
1815 HAWTHORNE BLVD, GALLERIA @ SOUTH BAY STE #236
REDONDO BEACH, CA 90278
Optometrist
1815 HAWTHORNE BLVD, STE 236
REDONDO BEACH, CA 90278
Optometrist
1815 HAWTHORNE BLVD, SUITE 360
REDONDO BEACH, CA 90278
Optometrist
1815 HAWTHORNE BLVD, STE 236 GALLERIA AT SOUTH BAY
REDONDO BEACH, CA 90278

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 Michelle Kishimoto's NPI number?

The NPI number for Michelle Kishimoto is 1417007014. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Michelle Kishimoto located?

Michelle Kishimoto practices at 1815 Hawthorne Blvd Ste 236 Galleria At South Bay, Redondo Beach, CA 90278. The listed phone number is (310) 370-1618.

What is Michelle Kishimoto'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 Michelle Kishimoto was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.