RIVERA OPTOMETRIC GROUP P.C.
Optometry at Preacher Roe Blvd, West Plains, MO

License number
Missouri 2011037045
Category
Optometry
Type
Optometrist
Owner
Name: ANGEL KEITH RIVERA O.D.
Title: PRESIDENT
Phone: (417) 204-2320
Address
Address
1310 Preacher Roe Blvd #HGW, West Plains, MO 65775
National Provider ID: 1831455179
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Rivera Optometric Group, PC

West Plains, MO

Industry:
Nonclassifiable Establishments, Optometrist's Office
Registration:
Dec 1, 2011
Addresses:
10110 Private Rd 8823, West Plains, MO 65775 (Physical)
PO Box 1701, West Plains, MO 65775 (Physical)
924 Nichols Dr, West Plains, MO 65775
State ID:
P01187113
Business type:
Professional Corporation
Expiration:
Perpetual
President:
Angel Keith Rivera (President)
Agent:
Devin S. Kirby,100 Jefferson Street, Doniphan, MO 63935 (Physical)

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