Organization
ERIC MIYAMOTO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC KOJI MIYAMOTO O.D. (OPTOMETRIST, PRESIDENT)
(818) 486-4084
Entity
Organization
Contact information
Practice address
420 E 3RD ST, SUITE 603, LOS ANGELES, CA 90013-1644
(213) 680-1551
Mailing address
12155 STONE GATE WAY, NORTHRIDGE, CA 91326-3854
(818) 832-3933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9309
CA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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