Organization
AUREA I RIVERA OD PC
Active
Other names
dba Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUREA I RIVERA OD (PRESIDENT OPTOMETRIST)
(713) 862-3149
Entity
Organization
Contact information
Practice address
550 HEIGHTS BLVD, SUITE B, HOUSTON, TX 77007-2533
(713) 862-3149
(713) 862-6523
Mailing address
550 HEIGHTS BLVD, SUITE B, HOUSTON, TX 77007-2533
(713) 862-3149
(713) 862-6523
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2217T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093241001
—
TX
01
—
N0110387
DPS
TX
Enumeration date
05/22/2007
Last updated
03/07/2023
Update your record
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