Cavanaugh, Mary G
Cavanaugh, Mary G is an individual health care provider with primary practice located at 10800 Magnolia Ave , Riverside CA 92505-3043. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cavanaugh, Mary G can be contacted via phone (909) 353-2000.Contact Information
Primary practice address
10800 Magnolia Ave
Riverside CA 92505-3043
Phone: (909) 353-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPT7428TPA | California |
Profile Details
NPI number | 1033267026 |
---|---|
LBN Legal business name | Cavanaugh, Mary G |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Sep 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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