Active NPI
Ann Miyamura, O.D.
- Optometrist
- Rancho Cordova, CA
National Provider Identifier
1316090020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10772T
- Practice address
- 10921 Olson Dr
Rancho Cordova, CA 95670-5659 - Phone
- (916) 635-1823
- Fax
- (916) 635-0912
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10772T | CA | Primary |
Addresses
Primary practice location
10921 Olson Dr
Rancho Cordova, CA 95670-5659
Mailing address
10921 Olson Dr
Rancho Cordova, CA 95670-5659
Phone (916) 635-1823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10772 | CA | MD | Mental Health Counselor |
| 10772T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Teresa M. Gerard O.D., Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optometric Care of Sacramento
- Optometrist
- Rancho Cordova, CA
- NPI 1700221108
-
dba Optometric Care of Sacramento
- Optometrist
- Rancho Cordova, CA
- NPI 1508907551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1316090020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 OLSON DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956705659",
"telephone_number": "916-635-1823",
"fax_number": "916-635-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 OLSON DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956705659",
"telephone_number": "916-635-1823",
"fax_number": "916-635-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAMURA",
"first_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10772T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.