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
Fax: (314) 231-2690
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588722748 NPPES
Missouri MEDICAID 310753819
Missouri Other 000007673
Missouri Other 0791940001

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