SUSAN MIYABE (NPI# 1104985837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104985837 |
| Entity Type | Individual |
| Full Name | SUSAN MIYABE |
| Credential | OD |
| Practice Address |
10800 Magnolia Ave Riverside CA 92505-3043 |
| Practice Telephone | 9093532000 |
| Mailing Telephone | 9093532000 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT7585TPA | CA | Eye and Vision Services Providers |
| Street Address |
10800 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352783 | Patrick Joseph S Alix | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2005-08-09 |
| 1306451885 | Tina Marsina Menedjian | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-09-11 |
| 1346859246 | Christina Marie Stephenson | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-07-27 |
| 1669095329 | Alvin Fong | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-05-28 |
| 1114555810 | Michelle Eunbi Ko | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-29 |
| 1821625062 | Christopher Mark Bradburne | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-26 |
| 1740817659 | Lauren Khan | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-23 |
| 1841826781 | Jessica Sherly Gurning | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1912533852 | Robert Yousif | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1770119323 | Erika Layne | Dietitian, Registered | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1194203398 | Penn Tran Od, Inc | Optometrist | 1299 University Ave Ste 103, Riverside, CA 92507-7236 | 2018-07-31 |
| 1679020283 | Pritesh Patel | Optometrist | 4030 Madison St, Riverside, CA 92504-2642 | 2016-09-01 |
| 1447644893 | Richard P Bozner Od Inc | Optometrist | 4212 Market St, Riverside, CA 92501-3516 | 2015-03-24 |
| 1770976987 | Retina Institute of California | Optometrist | 6906 Brockton Ave, Ste. 6, Riverside, CA 92506-4090 | 2015-03-12 |
| 1902295132 | Oxygen Optometry, Inc | Optometrist | 2712 Canyon Springs Pkwy, Suite A4, Riverside, CA 92507-0938 | 2015-01-12 |
| 1164837183 | Al Vincent D. Romero, O.d. Inc. | Optometrist | 9496 Magnolia Ave Ste 102, Riverside, CA 92503-3733 | 2014-06-27 |
| 1275808115 | Duong D Nguyen, Inc | Optometrist | 5051 Canyon Crest Dr Ste 102, Riverside, CA 92507-6035 | 2012-03-10 |
| 1750679171 | Jessica Duong | Optometrist | 4294 Riverwalk Pkwy, Suite 204, Riverside, CA 92505-8508 | 2011-07-19 |
| 1508185554 | Jerry P Gibson | Optometrist | 3140 White Oak Cr, Riverside, IA 52327 | 2010-05-28 |
| 1023248770 | Dr Harold Krajian Od Inc | Optometrist | 9496 Magnolia Ave, 102, Riverside, CA 92503-3733 | 2009-07-15 |
| Find all providers in RIVERSIDE | ||||
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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.