IndividualActive
Michelle Kishimoto, O.D.
NPI 1417007014 · Optometrist · Redondo Beach, CA
Provider details
- NPI number
- 1417007014
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 11949T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 Hawthorne Blvd
Ste 236 Galleria at South Bay
Redondo Beach, CA 90278-3424
Phone: (310) 370-1618
Fax: (310) 371-3126
Approximate (ZIP-level) locationGet directions
Mailing address
17868 Hazelwood Ct
Carson, CA 90746-7481
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.