Organization
DR BRUCE J SPERA OPTOMETRIST A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE SPERA O.D. (OWNER)
(951) 689-4500
Entity
Organization
Contact information
Practice address
2296 GALLERIA AT TYLER, RIVERSIDE, CA 92503-4144
(951) 689-4500
Mailing address
2296 GALLERIA AT TYLER, RIVERSIDE, CA 92503-4144
(951) 689-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6357-T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6357-T
LICENSE NUMBER
CA
Enumeration date
11/14/2006
Last updated
08/22/2020
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