NPIMap

Organization Active NPI

Ann K. Miyamura, O.D., Inc.

  • Optometrist
  • Rancho Cordova, CA
National Provider Identifier
1700221108
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10772T Issued in CA
Legal business name
ANN K. MIYAMURA, O.D., INC.
Practice address
10921 Olson Dr
Rancho Cordova, CA 95670-5659
Phone
(916) 635-1823
Fax
(916) 635-0912
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Ann Miyamura, O.D.
Title
President
Phone
(916) 635-1823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • Optometric Care of Sacramento Doing business as

National Provider Directory

National Provider Directory

Locations

10921 Olson Dr
Rncho Cordova, CA 95670
Phone (916) 635-1823

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": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1700221108",
    "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": {
        "organization_name": "ANN K. MIYAMURA, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "MIYAMURA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-635-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10772T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Care of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 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.

Verify at the official NPI Registry.