# LO & RIVENSON, O.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194065458
- **Authorized official:** FRANK RIVENSON OD (PRESIDENT)
- **Authorized official phone:** (561) 758-1254

## Contact information

- **Practice address:** 8022 TANGELO DR, BOYNTON BEACH, FL 33436-1602
- **Practice address phone:** (561) 758-1254
- **Mailing address:** 8022 TANGELO DR, BOYNTON BEACH, FL 33436-1602
- **Mailing address phone:** (561) 758-1254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3635 | FL | — |
| 152W00000X | Optometrist | OPC3762 | FL | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 02/25/2013