| NPI | 1336142140 |
|---|---|
| Doing Business As | RIVERSIDE VISION CARE |
| Entity Type | Organization |
| Authorized Contact | FRANCES G CLOYD Member 541-776-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1754ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 1982ATI) |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-02-14 |