Bryan J Mirone Optometric INC
Optometrist in Riverside, CA. Organization (NPI-2).
NPI number1851928063
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1851928063
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryan J Mirone Optometric INC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
4000 Tyler StRiverside, CA 92503-3458
Phone 951-687-7100 · Fax 951-687-1663
Mailing address
4000 Tyler StRiverside, CA 92503-3458
Phone 951-687-7100 · Fax 951-687-1663
Authorized official
Bryan Joseph Mirone
President
9519019644
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