NPI 1952545824
Optical Center
Practice location
- Address
- 23640 N St Bldg 758, Riverside, CA 92518-1893
- Phone
- (951) 656-9204
- Mailing address
- 296 Grayson Hwy, Lawrenceville, GA 30045-5737
Authorised official
- Name
- Susan Edick
- Title
- Mc Assistant
- Phone
- (678) 892-3774
Registered specialties
Optician
Primary
Registry record
- NPI
- 1952545824
- Entity type
- Organization
- NPI issued
- 23 Apr 2009
- Record last updated
- 23 Apr 2009
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.