NPI 1003120452

Kimberly Peterson, O.D., INC.

Organisation Optometrist Rialto, CA

Practice location

Address: 1850 N Riverside Ave Suite 100, Rialto, CA 92376-8071
Phone: (909) 421-3030
Fax: (909) 421-3059

Authorised official

Name: Kimberly Peterson
Title: Owner
Phone: (909) 421-3030

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 11094T (CA)

Other Optometrist providers in California →

Registry record

NPI: 1003120452
Entity type: Organization
NPI issued: 27 Jul 2010
Record last updated: 27 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.