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Organization

RIVIERA OPTICARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN RECKELL O.D. (PRESIDENT)
(480) 827-9184
Entity
Organization

Contact information

Practice address
555 N GILBERT RD, SUITE 101, MESA, AZ 85203-7551
(480) 827-9184
Mailing address
555 N GILBERT RD, SUITE 101, MESA, AZ 85203-7551
(480) 827-9184

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB1051
RAILROAD MEDICARE GROUP ID
AZ
Enumeration date
08/21/2007
Last updated
08/14/2014
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