Organization · NPI-2

Advanced Family Vision Center Optometry

Optometrist · Riverside, CA

NPI number1083740237
StatusActive
Last updated in NPPESOct 24, 2024

Details

NPI
1083740237
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Vision Center Optometry
Organization subpart
No
Enumeration date
Feb 24, 2007
Certification date
Oct 24, 2024
Last updated
Oct 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

19530 Van Buren Blvd
Suite #g-8
Riverside, CA 92508-9455

Phone 951-656-0500

Mailing address

19530 Van Buren Blvd
Suite #g-8
Riverside, CA 92508-9455

Authorized official

Valerie Rasner
Owner
9516560500

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