THEODORE MIYASAKI (NPI# 1740344472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740344472 |
| Entity Type | Individual |
| Full Name | THEODORE MIYASAKI |
| Practice Address |
2400 Monument Blvd Concord CA 94520-3105 |
| Practice Telephone | 9256717799 |
| Practice Fax Number | 9256719944 |
| Mailing Telephone | 9256717799 |
| Mailing Fax Number | 9256719944 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10516 | CA | Eye and Vision Services Providers |
| Street Address |
2400 MONUMENT BLVD |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841300456 | Costco Wholesale Corporation | Pharmacy | 2400 Monument Blvd, Concord, CA 94520 | 2006-08-30 |
| 1043603251 | Costco Wholesale Corporation | Hearing Aid Equipment | 2400 Monument Blvd, Concord, CA 94520-3105 | 2015-03-12 |
| 1285024869 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2400 Monument Blvd, Concord, CA 94520-3105 | 2015-02-03 |
| 1285038901 | Oliver Sit | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2014-10-09 |
| 1235410184 | Gregory Yuk Tam | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2011-09-06 |
| 1558650879 | Tin P Ho | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2011-04-07 |
| 1770881344 | Melissa W Wong | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2011-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1134747058 | Abbie Louise Martin | Optometrist | 273 Loudon Rd Ste 7, Concord, NH 03301-6062 | 2020-07-07 |
| 1558919514 | Nathaniel William Hitt | Optometrist | 5325 Vinning St Nw Ste 202, Concord, NC 28027-2946 | 2019-09-03 |
| 1558710103 | Anthony Fioravanti | Optometrist | 8561 Concord Mills Blvd Ste B, Concord, NC 28027-5408 | 2016-06-05 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1326479577 | Arnoldo Bowrey | Optometrist | 4749 Turnridge Ct Nw, Concord, NC 28027-3402 | 2013-12-12 |
| 1457589798 | Natalie Wade Harn-reid | Optometrist | 1480 Concord Parkway, Carolina Mall #301, Concord, NC 28025 | 2009-06-25 |
| 1083860514 | John Charles Schwartz | Optometrist | 1462 Barbis Way, Concord, CA 94518-1248 | 2008-08-15 |
| 1770748550 | Amy Katherine Moussa | Optometrist | 901 Sunvalley Blvd Ste 110, Concord, CA 94520-5816 | 2008-07-22 |
| 1548439839 | Invision Family Eyecare Od Pllc | Optometrist | 6167 Bayfield Parkway, Concord, NC 28027-7486 | 2008-02-21 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.