Organization
20 -20 VISION ASSOCIATES OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL M. EVERITT O.D. (PRACTICE OWNER, PARTNER)
(951) 684-7822
Entity
Organization
Contact information
Practice address
6377 RIVERSIDE AVE, SUITE 190, RIVERSIDE, CA 92506-3124
(951) 684-7822
(951) 684-0733
Mailing address
6377 RIVERSIDE AVE, SUITE 190, RIVERSIDE, CA 92506-3124
(951) 684-7822
(951) 684-0733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10316T
CA
152W00000X
Optometrist
13309T
CA
152W00000X
Optometrist
Primary
5187T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB2495
RR MEDICARE
CA
05
—
SD0051870
—
CA
05
—
SD0103160
—
CA
Enumeration date
06/13/2007
Last updated
06/04/2009
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