Steven Kenji Moriyasu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10383T Issued in CA

Practice address

924 N Citrus Ave
Covina, CA 91722-2737

Phone

(626) 331-2020

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moriyasu Optometry Inc.

  • Optometrist
  • Covina, CA
  • NPI 1639383078
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124153796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 KENNEDY LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N CITRUS AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222737",
            "telephone_number": "626-331-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIYASU",
        "first_name": "STEVEN",
        "middle_name": "KENJI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10383T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Isela Moreno
• Miriam Yvette Morgutia, LCSW
• Karl Moris
• Russell K Morita, DDS
• Moriyasu Optometry Inc.
• Bonnie L Moro, MFT
• Joshua Allen Morrill
• Zenna Faye Morris
• Teresa Morrison, PTP
• Aaron Morton

• Optometrist in Covina, CA
• Providers in Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.