NPI 1053645648

Mark a Rosa

Organisation Eyewear Supplier Riverside, CA

Practice location

Address: 7710 Limonite Ave STE 101, Riverside, CA 92509-5342
Phone: (951) 681-4125
Fax: (951) 361-4595

Authorised official

Name: Debi Nee
Title: Manager
Phone: (951) 681-4125

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 8575T (CA)

Other Eyewear Supplier providers in California →

Registry record

NPI: 1053645648
Entity type: Organization
NPI issued: 29 Sep 2009
Record last updated: 19 Oct 2011

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.