Miyamoto, Morio
Miyamoto, Morio is an sole proprietor health care provider with primary practice located at 720 Olive St Suite 420, Saint Louis MO 63101-2338. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Miyamoto, Morio can be contacted via phone (314) 231-0581.Contact Information
Primary practice address
720 Olive St Suite 420
Saint Louis MO 63101-2338
Phone: (314) 231-0581
Fax: (314) 231-2690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | T2320 | Missouri |
Profile Details
NPI number | 1588722748 |
---|---|
LBN Legal business name | Miyamoto, Morio |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2006 |
Last updated | Sep 18th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588722748 | NPPES |
Missouri | MEDICAID | 310753819 | |
Missouri | Other | 000007673 | |
Missouri | Other | 0791940001 |
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