Organization · NPI-2

Andrew Price Od

Optometrist, Corneal and Contact Management · Riverside, CA

NPI number1609632264

StatusActive

Last updated in NPPESFeb 22, 2024

Details

NPI: 1609632264
Entity type: Organization (NPI-2)
Legal business name: Andrew Price Od
Organization subpart: No
Enumeration date: Feb 22, 2024
Certification date: Feb 22, 2024
Last updated: Feb 22, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152WC0802X	Optometrist, Corneal and Contact Management	–	–	Yes
152W00000X	Optometrist	–	–
152WL0500X	Optometrist, Low Vision Rehabilitation	–	–
152WP0200X	Optometrist, Pediatrics	–	–
152WS0006X	Optometrist, Sports Vision	–	–
152WV0400X	Optometrist, Vision Therapy	–	–
152WX0102X	Optometrist, Occupational Vision	–	–

Practice location

2755 Canyon Springs Pkwy
Riverside, CA 92507-0932

Phone 951-571-8051 · Fax 951-382-6226

Mailing address

Po Box 33542
Riverside, CA 92519-0542

Authorized official

Andrew Price
Optometrist
9515718051

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