Downtown Clinic of Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2320 Issued in MO

Legal business name

DOWNTOWN CLINIC OF OPTOMETRY, INC

Practice address

720 Olive St
Suite 420
Saint Louis, MO 63101-2338

Phone

(314) 231-0581

Fax

(314) 231-2690

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Morio Miyamoto, O.D.

Title

President

Phone

(314) 231-0581

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1851454151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE ST",
            "address_2": "SUITE 420",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631012338",
            "telephone_number": "314-231-0581",
            "fax_number": "314-231-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE ST",
            "address_2": "SUITE 420",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631012338",
            "telephone_number": "314-231-0581",
            "fax_number": "314-231-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN CLINIC OF OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "MORIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-231-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T2320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE REGIOND/DMERC",
            "identifier": "0791940001",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310753819",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000007673",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine E Downing, LCSW
• Laura Christine Downing, LCSW
• Robert P Downing, DO
• Ashley Kathryn Downs, RDN
• Maureen A Downs, LMSW
• Downtown Medical LLC
• Downtown Pain Management Clinic, LLC
• Latrice L Dowtin, PH.D., LCPC, NCSP
• Ryan Everett Doyel, MD
• John Thomas Doyle, DDS

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.