| NPI | 1386340123 |
|---|---|
| Doing Business As | RIVERSIDE EYE |
| Entity Type | Organization |
| Authorized Contact | ALISHA NISWONGER Optometrist/Owner 423-618-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-03 |