Rivero, Lissa V

Rivero, Lissa V is an individual health care provider with primary practice located at 2020 Cattlemen Rd. Suite 500, Sarasota FL 34232-6284. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Rivero, Lissa V can be contacted via phone (941) 378-3937.

Contact Information

Primary practice address
2020 Cattlemen Rd. Suite 500 Sarasota FL 34232-6284
Phone: (941) 378-3937
Fax: (941) 921-1741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3664 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OPC3664 Florida

Profile Details

NPI number 1528028081
LBN Legal business name Rivero, Lissa V
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 26th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528028081 NPPES
Florida MEDICAID 620897500

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