Dr Ashley Suplee Od Optometric Corporation
Optometrist in Riverside, CA. Organization (NPI-2).
NPI number1316715212
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1316715212
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Ashley Suplee Od Optometric Corporation
- Organization subpart
- No
- Enumeration date
- Dec 20, 2023
- Certification date
- Jun 18, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Raincross Optometry (Doing Business As)
Practice location
3297 Arlington AveRiverside, CA 92506-3249
Phone 951-567-3067
Mailing address
3297 Arlington Ave Ste 105Riverside, CA 92506-3250
Authorized official
Ashley Elizabeth Suplee
President
9515673067
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