Organization
PINE RIVER GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HEIDENREICH (MANAGING MEMBER)
(720) 252-8355
Entity
Organization
Contact information
Practice address
500 BROAD ST STE 3, COLLEGEVILLE, PA 19426-4924
(610) 831-1100
Mailing address
9867 FLORENCE PL, HIGHLANDS RANCH, CO 80126-3561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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