Bryan Mirone

Primary specialty

OptometristTaxonomy code 152W00000X

License

15017 Issued in CA

Practice address

4000 Tyler St
Riverside, CA 92503-3458

Phone

(951) 687-7100

NPI assigned

Jul 1, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Bryan J Mirone Optometric Inc

  • Optometrist
  • Riverside, CA
  • NPI 1851928063
  Medicare reassignment NPD Authorized official
• Charles a Jansen, OD, Inc

  • Optometrist
  • Riverside, CA
  • NPI 1336342237
  NPD

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1174938963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 PEACHWOOD PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925066502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TYLER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033458",
            "telephone_number": "951-687-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRONE",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Helen Miranda
• Vanessa Miranda
• Afshin Mirbolooki
• Beverly Mireles
• Mirene Health Inland Empire LLC (Vital Care of Riverside)
• Bahram Mirza, MD
• Waqqas Shahid Mirza, MD
• Argishty Mirzakhanian, MD
• Marvin Lim Misa, DPT
• Adnan Misellati, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.