Rivera Optometric Group P.c.

NPI #1831455179 in West Plains, Missouri

Provider Information

NPI Number: 1831455179
Entity Type: Organization
Organization Name: Rivera Optometric Group P.c.
Primary Specialty: Optometrist
Enumeration Date: Apr 10, 2012
Last Updated: Apr 10, 2012

Practice Location

Address: 1310 PREACHER ROE BLVD # HGW
City: West Plains
State: Missouri
ZIP Code: 65775-2938
Phone: (417) 257-2807

Authorized Official

Name: ANGEL KEITH RIVERA, O.D.
Title: PRESIDENT
Phone: (417) 204-2320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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