Richard Jerome Kamiyama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11068 Issued in CA

Practice address

28944 Greenspot Rd
Highland, CA 92346-4423

Phone

(909) 862-2100

Fax

(909) 862-8831

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1881790863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28944 GREENSPOT RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464423",
            "telephone_number": "909-862-2100",
            "fax_number": "909-862-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28944 GREENSPOT RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464423",
            "telephone_number": "909-862-2100",
            "fax_number": "909-862-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIYAMA",
        "first_name": "RICHARD",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin E Johnsen, DDS
• Mark C Johnsen, DDS
• Allyson B Johnson, RDN
• Shelby Noel Kaenel
• Nisha Kamboh
• Richard Kangah, MD
• Claire Kayitesi
• Corrie Keener, LMFT
• Martin Khairullah
• Jin Rian Kim, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.