Organization · Type 2 NPI
Mark A Rosa
Eyewear Supplier · Riverside, CA
NPI number
1740514744
Active
Practice location
6485 Day St Ste 205
Riverside, CA 92507-0931
Fax (951) 656-2472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 8575T (CA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1740514744
Mark A Rosa's National Provider Identifier is 1740514744, issued on Sep 23, 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.