Provider Demographics
NPI:1386383784
Name:MURAOKA, KARA LEI SHIORI (OD)
Entity type:Individual
Prefix:
First Name:KARA LEI
Middle Name:SHIORI
Last Name:MURAOKA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 W 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3625
Mailing Address - Country:US
Mailing Address - Phone:541-685-2881
Mailing Address - Fax:541-653-8519
Practice Address - Street 1:2675 WILLAMETTE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3134
Practice Address - Country:US
Practice Address - Phone:541-484-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4630ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist