Dr. Gordon Kiyoshi Ota is a Fountain Valley, California based male Optometrist who is specialized in Optometry. Active license number of Dr. Gordon Kiyoshi Ota is T7549 for Optometry in California. Dr. Gordon Kiyoshi Ota 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Gordon Kiyoshi Ota speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
10130 Warner Ave, Suite J, Fountain Valley, California, 92708-1619
Phone:
714-965-5130
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1154392470
NPI Enumeration Date:
27 Jan, 2006
NPI Last Update On:
05 Sep, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gordon Kiyoshi Ota are as mentioned below.
License Number
Specialization
State
Status
T7549
Optometry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gordon Kiyoshi Ota such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SD0075490
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10130 Warner Ave, Suite J Fountain Valley, California
Zip:
92708-1619
Phone Number:
714-965-5130
Fax Number:
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Patients can reach Dr. Gordon Kiyoshi Ota at 10130 Warner Ave, Suite J, Fountain Valley, California or can call to book an appointment on 714-965-5130. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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