Organization
RIVERVIEW OPTICAL INC.
Active
Other names
Wesley Chapel Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL MARVEL DO (PRESIDENT)
(813) 996-2020
Entity
Organization
Contact information
Practice address
33913 STATE ROAD 54, SUITE 102, WESLEY CHAPEL, FL 33543
(813) 996-2020
(813) 815-9635
Mailing address
33913 STATE ROAD 54, SUITE 102, WESLEY CHAPEL, FL 33543
(813) 996-2020
(813) 815-9635
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630074000
—
FL
Enumeration date
04/11/2019
Last updated
04/12/2019
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