Organization · NPI-2

20/20 Vision Associates Optometry, INC.

Optometrist · Riverside, CA

NPI number1215161815
StatusActive
Last updated in NPPESAug 6, 2021

Details

NPI
1215161815
Entity type
Organization (NPI-2)
Legal business name
20/20 Vision Associates Optometry, INC.
Organization subpart
No
Enumeration date
May 11, 2009
Certification date
Aug 6, 2021
Last updated
Aug 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist10316TCAYes
152W00000X Optometrist13309TCA
152W00000X Optometrist5187TCA
152W00000X Optometrist33508TLGCA
152W00000X Optometrist––

Other names

  • 20/20 Vision Associates Optometry (Doing Business As)

Practice location

7379 Indiana Ave
Riverside, CA 92504-4547

Phone 951-684-7822 · Fax 951-977-8075

Mailing address

7379 Indiana Ave
Riverside, CA 92504-4547

Phone 951-684-7822 · Fax 951-977-8075

Authorized official

Cheryl Marie Everitt
President
9516847822

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