DR. Jason T Riley, O.D.

NPI #1477752053 in Sullivan, Missouri

Provider Information

NPI Number: 1477752053
Entity Type: Individual
Name: DR. Jason T Riley, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 13, 2007
Last Updated: Aug 27, 2010

Practice Location

Address: 280 E SPRINGFIELD RD
City: Sullivan
State: Missouri
ZIP Code: 63080-1364
Phone: (573) 468-4032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Prange Riley Optometrists, P.c.	Optometrist	Sullivan	AI Deep Dive

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