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DR. MORIO MIYAMOTO O.D. NPI 1588722748


NPI Information

NPI: 1588722748
Provider Name: DR. MORIO MIYAMOTO, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
720 OLIVE ST
SUITE 420
SAINT LOUIS, MO
ZIP 63101
Phone: (314) 231-0581
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DR. Morio Miyamoto, O.D. is a corneal and contact management optometrist in Saint Louis, MO. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Morio Miyamoto, O.D. NPI is 1588722748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 OLIVE ST
SUITE 420
SAINT LOUIS, MO
ZIP 63101-338
Phone: (314) 231-0581
Fax: (314) 231-2690

The NPI 1588722748 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/4/2006 and was last updated on 9/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementT2320MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1310753819MEDICAIDMISSOURI
2T42717MEDICARE UPINMISSOURI
3076730001MEDICARE PINMISSOURI
4000007673OTHERMISSOURIMEDICARE PTAN
50791940001OTHERMISSOURIMEDICARE REGIOND/DMERC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.