Healthcare Provider Details

I. General information

NPI: 1598904666
Provider Name (Legal Business Name): RIVER CITY EYECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 01/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 WASHINGTON BLVD
BELPRE OH
45714-2096
US

IV. Provider business mailing address

1714 WASHINGTON BLVD
BELPRE OH
45714-2096
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-9521
  • Fax: 740-423-6882
Mailing address:
  • Phone: 740-423-9521
  • Fax: 740-423-6882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD KEITH MCFEE
Title or Position: SECRETARY
Credential: O.D.
Phone: 740-423-9521