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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEIJI JAY SHIYOMURA, OD

Active Sole Proprietor

DR. KEIJI JAY SHIYOMURA, OD is a Optometrist healthcare provider located in BEND, Oregon. NPI 1609527613 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BEND, OR

Registration Details

NPI Number
1609527613
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2022 (4.5985727849417 yrs)
Last Updated
Feb 15, 2024
Licenses
ATI4607 (OR)
ATI4607 (OR)
Sole Proprietor
Yes

Practice Information

Address
61535 S HIGHWAY 97 STE 16
BEND, OR, 977022156
Browse OR providers · Browse ZIP 97702
Phone
5413894774
Fax
5413893971
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in BEND, OR

Name Credential NPI
DR. PATRICK AYRES O.D. 1639150873
DR. KIRSTEN CARMIENCKE SCOTT OD MS 1952386575
TERRY L STECKMAN OD 1861460404
DR. RONALD RAY GUILEY O.D., M.P.H. 1619913944
DR. WILLIAM WARD SHIRK OPTOMETRIST 1194752170
DR. E. WINTER LEWIS OD 1730110354
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.