Individual
DR. CHERYL MARIE EVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7379 INDIANA AVE, SUITE 101, RIVERSIDE, CA 92504-4547
(951) 684-7822
(951) 977-8075
Mailing address
7379 INDIANA AVE, SUITE 101, RIVERSIDE, CA 92504-4547
(951) 684-7822
(951) 977-8075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10316T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD249A
MEDICARE GROUP PTAN
CA
05
—
SD0103160
—
CA
Enumeration date
01/04/2007
Last updated
06/13/2016
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