Organization
MICHAEL SUMSION MD DBA RIVERSIDE EYECARE PROFESSIONALS
Active
Other names
Riverside EyeCare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MCEWEN (ADMINISTRATOR)
(530) 244-2273
Entity
Organization
Contact information
Practice address
2801 PARK MARINA DR, REDDING, CA 96001-2822
(530) 244-2273
(530) 244-2708
Mailing address
2801 PARK MARINA DR, REDDING, CA 96001-2822
(530) 244-2273
(530) 244-2708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0080870
—
CA
01
—
ZZZ55925Z
BLUE SHIELD
CA
Enumeration date
05/09/2006
Last updated
08/22/2020
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