| NPI | 1487108825 |
|---|---|
| Doing Business As | RIVERSIDE OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | LISA KELTNER Chief Executive Officer 951-784-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 08887) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2016-08-13 |