Healthcare Provider Details

I. General information

NPI: 1942120241
Provider Name (Legal Business Name): ARIANA APARICIO PHILLIPS, O.D., CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 W H ST
COLTON CA
92324-2950
US

IV. Provider business mailing address

6700 INDIANA AVE STE 155
RIVERSIDE CA
92506-4225
US

V. Phone/Fax

Practice location:
  • Phone: 909-825-9044
  • Fax: 909-825-7392
Mailing address:
  • Phone: 951-682-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: ARIANA APARICIO-PHILLIPS
Title or Position: OPTOMETRIST/OWNER
Credential: O.D.
Phone: 951-682-1600