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DR. NANCY TANG IMAMOTO O.D.
NPI 1790768794
Optometrist in Gardena, CA

Active since November 22, 2005PECOS Enrolled
1713 W ARTESIA BLVD, GARDENA, CA 90248(310) 329-4128(310) 329-9180 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nancy Tang Imamoto O.d. NPPES

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

DR. NANCY TANG IMAMOTO O.D. (NPI 1790768794) is an individual optometrist in Gardena, California, licensed in California (OPT 11361T) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2000).

NPPES Registry Identity

NPI1790768794
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NANCY TANG IMAMOTOCredential: O.D.
Location Address1713 W ARTESIA BLVDGardena, CA 90248-3220
Mailing Address1713 W Artesia BlvdGardena, CA 90248-3220 · (310) 329-4128 · Fax (310) 329-9180
Phone(310) 329-4128
Fax(310) 329-9180
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2000
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 17, 2015
✔ NPI 1790768794 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 · OPT 11361T
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.
1713 W ARTESIA BLVD, Gardena, CA 90248
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Other Identifiers 2

OtherCA1361CA · Eyemed
Other16618CA · Medical Eye Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nancy Tang Imamoto O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294806840
PECOS Enrollment IDI20080625000397
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Imamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nancy T Imamoto Od PC
Same address
Optometrist
1713 W ARTESIA BLVD
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
NPI 1184008294 (310) 329-4128

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JOEL GOODMAN OD A PROF CORP
Optometrist
1713 W ARTESIA BLVD
GARDENA, CA 90248
Los Angeles County (310) 329-4128
NANCY T IMAMOTO OD PC
Optometrist
1713 W ARTESIA BLVD
GARDENA, CA 90248
Los Angeles County (310) 329-4128

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 Nancy Imamoto's NPI number?

The NPI number for Nancy Imamoto is 1790768794. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Nancy Imamoto located?

Nancy Imamoto practices at 1713 W Artesia Blvd, Gardena, CA 90248. The listed phone number is (310) 329-4128.

What is Nancy Imamoto's specialty?

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

Is Nancy Imamoto enrolled in Medicare?

Yes. Nancy Imamoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Imamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Imamoto reassigns Medicare benefits to Nancy T Imamoto Od PC (Gardena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Imamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Imamoto accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Nancy Imamoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nancy Imamoto was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.