Mary D Vivirito (NPI# 1477968667, PAC ID# 9739410689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1477968667 |
| PAC ID by PECOS | 9739410689 |
| Professional Enrollment ID | I20191008002592 |
| Full Name | Mary D Vivirito |
| Organization Legal Name | IMPERIAL VALLEY OPTOMETRIC CORPORATION |
| Address |
3451 S Dogwood Rd Suite 1334 El Centro CA 92243-9140 |
| Phone Number | 7603363003 |
| Gender | F |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911173588 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 | 7603363003 | IMPERIAL VALLEY OPTOMETRIC CORPORATION |
| Organization Legal Name | IMPERIAL VALLEY OPTOMETRIC CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salvador Vallarta | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Jade Nm Davis | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| May C Tam | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Kuen-chine Lau | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Henry C Lin | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Street Address |
3451 S DOGWOOD RD SUITE 1334 |
| City | EL CENTRO |
| State | CA |
| Zip | 92243-9140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salvador Vallarta | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Jade Nm Davis | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| May C Tam | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Kuen-chine Lau | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Henry C Lin | Optometry | Imperial Valley Optometric Corporation | 3451 S Dogwood Rd, Suite 1334, El Centro, CA 92243-9140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann-marie Wurzbach | Physical Therapy | Farid Zia, P.t. A Professional Corp | 1698 Cruickshank Dr, Suite A, El Centro, CA 92243 |
| Carrie S Waters | Physical Therapy | Farid Zia, P.t. A Professional Corp | 1698 Cruickshank Dr, Suite A, El Centro, CA 92243 |
| Cassidy Michael Trimm | Physical Therapy | Farid Zia, P.t. A Professional Corp | 1698 Cruickshank Dr, Suite A, El Centro, CA 92243 |
| Jayme Storms | Nurse Practitioner | Anthony Huynh Medical Group,inc | 1334 N Imperial Ave, El Centro, CA 92243-1313 |
| Diana T Dang | Dermatology | Anthony Huynh Medical Group,inc | 1334 N Imperial Ave, El Centro, CA 92243-1313 |
| Anthony Huynh | Dermatology | Anthony Huynh Medical Group,inc | 1334 N Imperial Ave, El Centro, CA 92243-1313 |
| Persephonie Anastasia Tweten | Physician Assistant | Anthony Huynh Medical Group,inc | 1334 N Imperial Ave, El Centro, CA 92243-1313 |
| Cyril M Gostich | Podiatry | 1503 N Imperial Ave, Suite 105, El Centro, CA 92243-1332 | |
| Frank J Witt | Podiatry | Imperial Valley Podiatry Associates Inc | 1503 N Imperial Ave, Suite 105, El Centro, CA 92243-1332 |
| David P Espinosa | Optometry | 828 N Imperial Ave, El Centro, CA 92243-1916 | |
| Find all physicians in zip 92243 | |||
| City | EL CENTRO |
| Zip Code | 92243 |
| Specialty | OPTOMETRY |
| City + Specialty | EL CENTRO + OPTOMETRY |
Please comment or provide details below to improve the information on Mary D Vivirito.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.