Morio Miyamoto, O.D. Valid NPI
Individual provider · Corneal and Contact Management Optometrist · Saint Louis, MO
- NPI
- 1588722748
- Type
- Individual (Type 1)
- Primary specialty
- Corneal and Contact Management Optometrist (Optometrist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152WC0802X
- License number
- T2320 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-12-04
- Last updated
- 2008-09-18
Practice location
720 Olive St, Suite 420
Saint Louis, MO 63101-2338
(314) 231-0581