Dr Joanna Miranda OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR JOANNA MIRANDA OD INC

Practice address

5237 Arrow Hwy
Montclair, CA 91763-1308

Phone

(909) 625-6567

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Joanna Miranda, ODNPI 1720561483

Title

Ceo/Optometrist

Phone

(909) 625-6567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Joanna Miranda, OD

  • Optometrist
  • Montclair, CA
  • NPI 1720561483
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720915200000",
    "number": "1861239691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631308",
            "telephone_number": "909-625-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOANNA MIRANDA OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "909-625-6567",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Montclair, CA
• Providers in Montclair, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.