Provider Demographics
NPI:1225645211
Name:RANCHO MIRAGE OPTOMETRIC FAMILY EYECARE, INC.
Entity Type:Organization
Organization Name:RANCHO MIRAGE OPTOMETRIC FAMILY EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-879-7919
Mailing Address - Street 1:71703 HIGHWAY 111 STE 2A
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4478
Mailing Address - Country:US
Mailing Address - Phone:760-340-5292
Mailing Address - Fax:
Practice Address - Street 1:71703 HIGHWAY 111 STE 2A
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4478
Practice Address - Country:US
Practice Address - Phone:760-340-5292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty