| NPI | 1609498856 |
|---|---|
| Doing Business As | RIVERSIDE FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | BRITTANY ANN DEGLER Mgrm 239-500-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-03-29 |