Riverside Optical
Eyewear Supplier (Equipment, not the service) in Redding, CA. Organization (NPI-2).
NPI number1164083663
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1164083663
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Optical
- Organization subpart
- No
- Enumeration date
- Jun 25, 2019
- Last updated
- Jun 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
2801 Park Marina DrRedding, CA 96001-2822
Phone 530-244-2273
Mailing address
2801 Park Marina DrRedding, CA 96001-2822
Authorized official
Scott Sumsion
Administrator
5302442273
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All 8 Eyewear Supplier providers in Redding · All 4,637 providers in Redding
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