Provider Demographics
NPI:1609832153
Name:RIMBERGAS, SYLVIA V (OD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:V
Last Name:RIMBERGAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W FRY BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-1760
Mailing Address - Country:US
Mailing Address - Phone:520-459-1650
Mailing Address - Fax:520-459-6202
Practice Address - Street 1:400 W FRY BLVD STE 9
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-1760
Practice Address - Country:US
Practice Address - Phone:520-459-1650
Practice Address - Fax:520-459-6202
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009266152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U85171Medicare UPIN