Organization · NPI-2

20 -20 Vision Associates Optometry

Optometrist · Riverside, CA

NPI number1124222997
StatusActive
Last updated in NPPESJun 4, 2009

Details

NPI
1124222997
Entity type
Organization (NPI-2)
Legal business name
20 -20 Vision Associates Optometry
Organization subpart
No
Enumeration date
Jun 13, 2007
Last updated
Jun 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5187TCAYes
152W00000X Optometrist10316TCA
152W00000X Optometrist13309TCA

Practice location

6377 Riverside Ave
Suite 190
Riverside, CA 92506-3124

Phone 951-684-7822 · Fax 951-684-0733

Mailing address

6377 Riverside Ave
Suite 190
Riverside, CA 92506-3124

Phone 951-684-7822 · Fax 951-684-0733

Authorized official

Cheryl M. Everitt
Practice Owner, Partner
9516847822

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