Three Rivers Optometric Group Inc

LBN: Three Rivers Optometric Group Inc
Three Rivers Optometric Group Inc is an health care organization with primary practice located at 1245 Tharp Rd , Yuba City CA 95993. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Three Rivers Optometric Group Inc can be contacted via phone (530) 674-5273, or through Taxera, Gary R via phone (530) 674-5273.

Contact Information

Primary practice address
1245 Tharp Rd Yuba City CA 95993
Fax: (530) 674-5275
Website:
Authorized official contact:
Name: Taxera, Gary R Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7072T California
Eye and Vision Services Providers / Optometrist 152W00000X 7125T California
Eye and Vision Services Providers / Optometrist 152W00000X 12712T California
Eye and Vision Services Providers / Optometrist 152W00000X COR949 California

Profile Details

NPI number 1497866545
LBN Legal business name Three Rivers Optometric Group Inc
DBA Doing business as
Authorized official Taxera, Gary R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 14th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497866545 NPPES
California MEDICAID GSD004280
California Other CK6935
California Other ZZZ078052
California Other 4598980001

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