Organization
RIDGE EYE CLINIC & OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN E. CERDA O.D. (OWNER/OPTOMETRIST)
(956) 783-5500
Entity
Organization
Contact information
Practice address
1313 S CAGE BLVD, PHARR, TX 78577-6227
(956) 783-5500
(956) 783-5660
Mailing address
1313 S CAGE BLVD, PHARR, TX 78577-6227
(956) 783-5500
(956) 783-5660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019085201
—
TX
Enumeration date
04/12/2006
Last updated
02/22/2012
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