Organization
LO & RIVENSON, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK RIVENSON OD (PRESIDENT)
(561) 758-1254
Entity
Organization
Contact information
Practice address
8022 TANGELO DR, BOYNTON BEACH, FL 33436-1602
(561) 758-1254
Mailing address
8022 TANGELO DR, BOYNTON BEACH, FL 33436-1602
(561) 758-1254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC3635
FL
152W00000X
Optometrist
Primary
OPC3762
FL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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