Mountain Vista Optical in Riverside - Eyewear Supplier
Mountain Vista Optical - NPI 1649394545
Mountain Vista Optical is a Eyewear Supplier in Riverside, California. Mountain Vista Optical practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Mountain Vista Optical is 1649394545. The last update date is 2023-09-07.
Mountain Vista Optical's current location address is 10440 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9516921323 and fax number 8662580370. The mailing address for Mountain Vista Optical is 10440 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Vista Optical |
|---|---|
| Address | 10440 Magnolia Ave, Riverside, California |
| Phone Number | 9516921323 |
| Fax Number | 8662580370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thormahlen A Patricia |
| Credentials | OPTICAN |
| Telephone Number | 9516921323 |
NPI Number Detail
| NPI Number | 1649394545 |
|---|---|
| Provider Enumeration Date | 2007-03-17 |
| Last Updated Date | 2023-09-07 |
Provider Mailing Address Detail
| Address | 10440 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925051812 |
| Phone Number | 9516921323 |
| Fax Number | 8662580370 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | D6924 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DX006924F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mountain Vista Optical by the Centers for Medicare & Medicaid Services (CMS)?
The Mountain Vista Optical has been assigned the NPI (National Provider Identifier) 1649394545. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mountain Vista Optical's physical address?
The Mountain Vista Optical is physically located at 10440 Magnolia Ave, in the city of Riverside, CA, with the postal code 925051812.
What is Mountain Vista Optical's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mountain Vista Optical is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649394545 to Mountain Vista Optical?
The Centers for Medicare & Medicaid Services originally issued the 1649394545 to Mountain Vista Optical on 2007-03-17.
As of what date were the Mountain Vista Optical's details last updated?
The information pertaining to the Mountain Vista Optical, including its address, specialty, and other details, was most recently updated on 2023-09-07.
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