Michelle Lizardi Rivera, O.D.

Optometrist · Jacksonville, FL

Individual Active NPI

NPI number 1043434533

Practice location

7205 Bonneval Rd
Jacksonville, FL 32256-7565
Phone
(904) 296-0098

Open in Google Maps

NPI record

NPI
1043434533
Entity type
Individual (Type 1)
Enumeration date
April 13, 2007
Last updated
January 17, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OEG003127 PA

Mailing address

1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone
(904) 296-0098

About Dr. Rivera

Michelle Lizardi Rivera, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 7205 Bonneval Rd, Jacksonville, FL 32256-7565. The NPI number 1043434533 was assigned on April 13, 2007 and the record was last updated on January 17, 2017.

Dr. Rivera lists a license in the registry: #OEG003127 (PA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michelle Lizardi Rivera, O.D.?

The NPI number is 1043434533.

What is the phone number of Dr. Rivera?

The phone number listed for the practice location is (904) 296-0098.

Where is Dr. Rivera located?

7205 Bonneval Rd, Jacksonville, FL 32256-7565.

What is the taxonomy code for Dr. Rivera?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Optometrist providers in Jacksonville

All Optometrist providers in Jacksonville, FL →