Organization
SIX RIVERS OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN J DODD D.O. (OWNER)
(707) 445-2079
Entity
Organization
Contact information
Practice address
2039 HARRISON AVE, EUREKA, CA 95501-3211
(707) 445-2079
(707) 445-2070
Mailing address
2039 HARRISON AVE, EUREKA, CA 95501-3211
(707) 445-2079
(707) 445-2070
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2714
CA
332H00000X
Eyewear Supplier
2714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448
MEDICAL EYE SERVICES
CA
05
—
DX002714F
—
CA
Enumeration date
02/06/2007
Last updated
09/11/2025
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