NPIMap

Organization Active NPI

Richard J. Miyamoto, O.D

  • Optometrist
  • Gardena, CA
National Provider Identifier
1427185990
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7016TPA Issued in CA
Legal business name
RICHARD J. MIYAMOTO, O.D
Practice address
18525 S Western Ave
Gardena, CA 90248-3830
Phone
(310) 538-3937
Fax
(310) 538-6952
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Richard J Miyamoto, O.D.
Title
Optometrist
Phone
(310) 538-3937

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7016TPA CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 10386TPA CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 11361TPA CA

Addresses

Primary practice location

18525 S Western Ave
Gardena, CA 90248-3830

Mailing address

18525 S Western Ave
Gardena, CA 90248-3830
Phone (310) 538-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD0070160MedicaidCA

National Provider Directory

National Provider Directory

Locations

18525 S Western Ave
Gardena, CA 90248
Phone (310) 538-3937

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1427185990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-538-3937",
            "fax_number": "310-538-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483830",
            "telephone_number": "310-538-3937",
            "fax_number": "310-538-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. MIYAMOTO, O.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-538-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7016TPA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10386TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11361TPA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.