Individual
RACHEL ANN DE LA RIVA MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5727 CANTON CV, SUITE 111, WINTER SPRINGS, FL 32708-5033
(407) 695-2020
(407) 699-5666
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4798
(407) 775-7654
(407) 834-6082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007641
NY
152W00000X
Optometrist
Primary
OPC4629
FL
152W00000X
Optometrist
OPT002618
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004538300
—
FL
Enumeration date
06/08/2011
Last updated
05/05/2017
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