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Organization

RIVER CITY OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RUTH AMBER MERCADO LDO (OWNER)
(434) 228-7506
Entity
Organization

Contact information

Practice address
308 CRAGHEAD ST STE 102B, DANVILLE, VA 24541-1468
(434) 228-7506
(434) 228-7584
Mailing address
308 CRAGHEAD ST STE 102B, DANVILLE, VA 24541-1468
(434) 228-7506
(434) 228-7584

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134952690
INDIVIDUAL NPI
VA
Enumeration date
05/21/2025
Last updated
05/21/2025
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