Bryan Mirone

Optometrist · Riverside, CA

Individual Active NPI

NPI number 1174938963

Practice location

4000 Tyler St
Riverside, CA 92503-3458
Phone
(951) 687-7100

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NPI record

NPI
1174938963
Entity type
Individual (Type 1)
Enumeration date
July 1, 2014
Last updated
August 15, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 15017 CA

Mailing address

628 Peachwood Pl
Riverside, CA 92506-6502

About Bryan Mirone

Bryan Mirone is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4000 Tyler St, Riverside, CA 92503-3458. The NPI number 1174938963 was assigned on July 1, 2014 and the record was last updated on August 15, 2017.

Bryan Mirone lists a license in the registry: #15017 (CA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Mirone?

The NPI number is 1174938963.

What is the phone number of Bryan Mirone?

The phone number listed for the practice location is (951) 687-7100.

Where is Bryan Mirone located?

4000 Tyler St, Riverside, CA 92503-3458.

What is the taxonomy code for Bryan Mirone?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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