NPI 1225108830

Riverside Optical INC

Organisation Eyewear Supplier Tuscaloosa, AL

Practice location

Address: 535 Jack Warner Pkwy NE STE B2, Tuscaloosa, AL 35404-5715
Phone: (205) 554-0107
Fax: (205) 554-0198

Authorised official

Name: Ernes van Johnson
Title: Physician Owner
Phone: (205) 556-4440

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Alabama →

Registry record

NPI: 1225108830
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 3 May 2016

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.