MEDICARE: THE RIVIISION CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	152WL0500X	Low Vision Rehabilitation Optometrist
2	152WP0200X	Pediatric Optometrist
3	152WS0006X	Sports Vision Optometrist
4	152WV0400X	Vision Therapy Optometrist
5	152W00000X	Optometrist

General Provider Information

NPI Number	:	1659924082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RIVIISION CENTER, LLC

Provider Business Mailing Address
First Line	:	8811 S SANTA FE AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-8410
Country	:	US
Telephone Number	:	405-990-0643
Fax Number	:

Provider Business Practice Location Address
First Line	:	8811 S SANTA FE AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-8410
Country	:	US
Telephone Number	:	405-990-0643
Fax Number	:	405-561-6803

Authorized Official
Title or Position	:	OWNER
Name	:	BYRON BONNER
Credential	:	OD
Telephone Number	:	405-990-0643

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	02/18/2021

Similar Medicare Providers

1386921864 — COLETTE SUZANNE CALAME CCP LP
Practice Location Address:

6124 PANDA WAY
OKLAHOMA CITY, OK
73165-8410

Practice Phone: 405-620-2412
Practice Fax: 405-271-6135

1033102512 — DR. BARRY M GAFFNEY OD
Practice Location Address:

2002 S ALEXANDER ST
PLANT CITY, FL
33563-8410

Practice Phone: 813-754-3593
Practice Fax: 813-754-5464

1962568451 — BARRY M GAFFNEY OD PA
Practice Location Address:

2002 S ALEXANDER STREET
PLANT CITY, FL
33563-8410

Practice Phone: 813-856-2020
Practice Fax: 813-754-5464

1174854830 — KATIE S DROBNEY LPC, LMHC, ATR
Practice Location Address:

5 MIRACLE STRIP LOOP STE 15
PANAMA CITY BEACH, FL
32407-8410

Practice Phone: 970-799-0021
Practice Fax:

1619292182 — DR. RICHARD KELLER M.D.
Practice Location Address:

1235 EAST 200 SOUTH #702 , 1235 EAST 200 SOUTH #702
SALT LAKE CITY, UT
84102-8410

Practice Phone: 801-355-9040
Practice Fax:

1477856995 — AP FAMILY LIFE EDUCATIONAL COUNSELING & CONSULTING SVS INC
Practice Location Address:

5 MIRACLE STRIP LOOP STE 14
PANAMA CITY BEACH, FL
32407-8410

Practice Phone: 850-763-8100
Practice Fax: 850-763-0707

Directions to “THE RIVIISION CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.