Provider Demographics
NPI:1942670450
Name:RIVERA-GARCIA, ROWENA A R (OD)
Entity Type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:A R
Last Name:RIVERA-GARCIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:341 W TUDOR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6639
Mailing Address - Country:US
Mailing Address - Phone:907-770-6652
Mailing Address - Fax:907-770-3668
Practice Address - Street 1:341 W TUDOR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6639
Practice Address - Country:US
Practice Address - Phone:907-770-6652
Practice Address - Fax:907-770-3668
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK364152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist