Organization · NPI-2

Avcoptometry, INC

Optometrist · Riverside, CA

NPI number1134799406
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1134799406
Entity type
Organization (NPI-2)
Legal business name
Avcoptometry, INC
Organization subpart
No
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

14140 Meridian Pkwy Ste 101
Riverside, CA 92518-3043

Phone 951-243-3337 · Fax 951-243-6868

Mailing address

14140 Meridian Pkwy Ste 101
Riverside, CA 92518-3043

Phone 951-243-3337 · Fax 951-243-6868

Authorized official

Trina T Tran
Secretary
9512433337

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