MARK A ROSA (NPI# 1053645648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053645648 |
| Entity Type | Organization |
| Organization Name | MARK A ROSA |
| Other Organization Name | MARK ROSA OD |
| Practice Address |
7710 Limonite Ave Ste 101 Riverside CA 92509-5342 |
| Practice Telephone | 9516814125 |
| Practice Fax Number | 9513614595 |
| Mailing Telephone | 9516814125 |
| Mailing Fax Number | 9513614595 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DEBI NEE (MANAGER) |
| Authorized Official Telephone | 9516814125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 8575T | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Mark Rosa OD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740514744 | Mark A Rosa | Eyewear Supplier (Equipment, not the service) | 6485 Day St Ste 205, Riverside, CA 92507-0931 | 2009-09-23 |
| Street Address |
7710 LIMONITE AVE STE 101 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-5342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1740514744 | Mark A Rosa | Eyewear Supplier (Equipment, not the service) | 6485 Day St Ste 205, Riverside, CA 92507-0931 | 2009-09-23 |
| 1588752950 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 375 E Alessandro Blvd, Riverside, CA 92508-2463 | 2006-10-11 |
| 1366464448 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3065 Galleria At Tyler, Riverside, CA 92503 | 2006-07-24 |
| 1669858270 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2755 Canyon Springs Pkwy, Riverside, CA 92507-0932 | 2015-08-05 |
| 1174840474 | University of Iowa Community Medical Services Inc | Eyewear Supplier (Equipment, not the service) | 3056 River Crossing Court, Suite B, Riverside, IA 52327-4727 | 2010-04-26 |
| 1700041043 | Sandra Davidson, O.d. Inc. | Eyewear Supplier (Equipment, not the service) | 4515 Central Ave Ste 101, Riverside, CA 92506-2374 | 2008-07-25 |
| 1649394545 | Mountain Vista Optical | Eyewear Supplier (Equipment, not the service) | 10440 Magnolia Ave, Riverside, CA 92505-1812 | 2007-03-17 |
| 1366598120 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2051 Galleria At Tyler, Riverside, CA 92503-4143 | 2007-01-26 |
| 1104975697 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7503 W Cermak Rd, Riverside, IL 60546-2743 | 2007-01-10 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on MARK A ROSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.