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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