Organization
BRIAN E. ELLIOTT, O.D.
Active
Other names
Riverbank Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E ELLIOTT O.D. (OWNER)
(209) 869-3300
Entity
Organization
Contact information
Practice address
6331 JACKSON AVE, RIVERBANK, CA 95367-2733
(209) 869-3300
(209) 869-8809
Mailing address
6331 JACKSON AVE, RIVERBANK, CA 95367-2733
(209) 869-3300
(209) 869-8809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9440T
CA
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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