Healthcare Provider Details

I. General information

NPI: 1609832153
Provider Name (Legal Business Name): SYLVIA V. RIMBERGAS O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W FRY BLVD STE 9
SIERRA VISTA AZ
85635-1760
US

IV. Provider business mailing address

400 W FRY BLVD STE 9
SIERRA VISTA AZ
85635-1760
US

V. Phone/Fax

Practice location:
  • Phone: 520-459-1650
  • Fax: 520-459-6202
Mailing address:
  • Phone: 520-459-1650
  • Fax: 520-459-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number001241
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: