Provider Demographics
NPI:1588746432
Name:RIVERA-MOLINA, ALETHEA ATHENA (OD)
Entity type:Individual
Prefix:MRS
First Name:ALETHEA
Middle Name:ATHENA
Last Name:RIVERA-MOLINA
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 1:644 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2465
Mailing Address - Country:US
Mailing Address - Phone:724-266-4477
Mailing Address - Fax:724-266-3464
Practice Address - Street 1:644 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2465
Practice Address - Country:US
Practice Address - Phone:724-266-4477
Practice Address - Fax:724-266-3464
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001799152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist