Organization
RIVER VALLEY EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ELAINE JORDAN (OPTOMETRIST)
(336) 677-6770
Entity
Organization
Contact information
Practice address
953 S STATE ST, YADKINVILLE, NC 27055-6765
(336) 677-6770
Mailing address
953 S STATE ST, YADKINVILLE, NC 27055-6765
(336) 677-6770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916137
—
NC
Enumeration date
07/15/2016
Last updated
07/15/2016
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