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

Dr. Sandra J. Miyamoto, OD

Individual provider Optometrist · NPI 1760524268

Dr. Sandra J. Miyamoto, OD is an Optometry in Lake Oswego, Oregon. Qualified in 2006, 20 years ago. Practices with Polsinelli Optometry PC, a 2-clinician group. Licensed in California, New York and Oregon.

Years since qualifying
20
Licensed in
CA, NY, OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4859 Meadows Rd Ste 155
Lake Oswego, OR 97035-2628
Phone: (503) 342-6853
Fax: (503) 342-6185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence AT4601 (OR)
Optometrist Taxonomy 152W00000X · Licence 007047 (NY)
Optometrist Taxonomy 152W00000X · Licence 13422 (CA)

Record details

NPI number1760524268
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Polsinelli Optometry Pc — 2 clinicians
Accepts Medicare assignment Not indicated

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