Organization
RILEY VISION P.C.
Active
Other names
W. Matthew Riley
Organization subpart
No
Provider details
NPI number
Authorized official
W. MATTHEW RILEY OD (OD CEO)
(907) 452-2131
Entity
Organization
Contact information
Practice address
1867 AIRPORT WAY STE 150A, FAIRBANKS, AK 99701-4061
(907) 452-2131
(907) 452-2618
Mailing address
1867 AIRPORT WAY STE 150A, FAIRBANKS, AK 99701-4061
(907) 452-2131
(907) 452-2618
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD6003
—
AK
Enumeration date
02/14/2007
Last updated
08/22/2020
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