Vivirito, Mary Diana
Vivirito, Mary Diana is an individual health care provider with primary practice located at 828 N Imperial Ave , El Centro CA 92243-1916. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Vivirito, Mary Diana can be contacted via phone (760) 352-7460.Contact Information
Primary practice address
828 N Imperial Ave
El Centro CA 92243-1916
Phone: (760) 352-7460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0003100 | Colorado |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 33798TLG | California |
Profile Details
| NPI number | 1477968667 |
|---|---|
| LBN Legal business name | Vivirito, Mary Diana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Feb 22nd, 2024 - about 10 months 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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