Organization Active NPI

Moriyasu Optometry Inc.

  • Optometrist
  • Covina, CA
National Provider Identifier
1639383078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10383T Issued in CA
Legal business name
MORIYASU OPTOMETRY INC.
Practice address
924 N Citrus Ave
Covina, CA 91722-2737
Phone
(626) 331-2020
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Kenji Moriyasu, O.D.NPI 1124153796
Title
Ceo
Phone
(626) 331-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10383T CA Primary

Addresses

Primary practice location

924 N Citrus Ave
Covina, CA 91722-2737

Mailing address

924 N Citrus Ave
Covina, CA 91722-2737
Phone (626) 331-2020

Other names 1

  • Citrus Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

924 N Citrus Ave
Covina, CA 91722
Phone (626) 331-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639383078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N CITRUS AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222737",
            "telephone_number": "626-331-2020"
        },
        {
            "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": {
        "organization_name": "MORIYASU OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORIYASU",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-331-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10383T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.