Organization · Type 2 NPI

Mark A Rosa

Eyewear Supplier · Riverside, CA

NPI number 1053645648 Active

Practice location

7710 Limonite Ave Ste 101
Riverside, CA 92509-5342

Call (951) 681-4125 Map

Fax (951) 361-4595

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000X8575T (CA)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

2 other providers at this address

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About NPI 1053645648

Mark A Rosa's National Provider Identifier is 1053645648, issued on Sep 29, 2009. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Riverside, CA. The record was last updated on Oct 19, 2011.