Organization Active NPI

Miyagi Island Optical Inc

  • Eyewear Supplier
  • Alamogordo, NM
National Provider Identifier
1720294713
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
CERTIFICATE00750
Legal business name
MIYAGI ISLAND OPTICAL INC
Practice address
910 New York Ave
Alamogordo, NM 88310
Phone
(505) 434-0036
Fax
(505) 434-0036
NPI assigned
May 15, 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
Mr. James A Miyagishima, BS AA FNAD
Title
President Owner
Phone
(505) 434-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X CERTIFICATE00750 Primary

Addresses

Primary practice location

910 New York Ave
Alamogordo, NM 88310

Mailing address

910 New York Ave
Alamogordo, NM 88310
Phone (505) 434-0036

National Provider Directory

National Provider Directory

Locations

910 New York Ave
Alamogordo, NM 88310
Phone (505) 434-0036

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720294713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-434-0036",
            "fax_number": "505-434-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-434-0036",
            "fax_number": "505-434-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIYAGI ISLAND OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIYAGISHIMA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "505-434-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS AA FNAD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": "CERTIFICATE00750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

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.