Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Mirone

Individual provider Optometrist · NPI 1174938963

Bryan Mirone is an Optometry in Riverside, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

4000 Tyler St
Riverside, CA 92503-3458
Phone: (951) 687-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 15017 (CA)

Record details

NPI number1174938963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 1, 2014
Last updated in NPPESAugust 15, 2017
Mailing address628 Peachwood Pl, Riverside, CA 92506-6502

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Riverside