Vivirito, Mary Diana

Vivirito, Mary Diana is an individual health care provider with primary practice located at 812 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
812 N Imperial Ave El Centro CA 92243-1916
Phone: (760) 352-7460
Fax: (888) 210-5799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 Sep 15th, 2024 - about 2 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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