NPIMap

Organization Active NPI

Rivercity Eyecare, Inc

  • Optometrist
  • Belpre, OH
National Provider Identifier
1003865833
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RIVERCITY EYECARE, INC
Practice address
1714 Washington Blvd
Belpre, OH 45714-2096
Phone
(740) 423-9521
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James M. Markley, O.D.NPI 1811950066
Title
Owner/Member
Phone
(740) 423-9521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1714 Washington Blvd
Belpre, OH 45714-2096

Mailing address

1714 Washington Blvd
Belpre, OH 45714-2096
Phone (740) 423-9521

Other identifiers 1

IdentifierTypeStateIssuer
5250508MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050209000894 OH Part B Supplier - Clinic/Group Practice 4284685900 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Belpre, OH; Caldwell, OH
O20100930009523 OH DME Supplier - Physician - Optometrist 4284685900 Practice locations: Belpre, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rivercity Eyecare, Inc1714 Washington Blvd, Belpre, OH 45714-2076(740) 423-9521 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 24, 2005

National Provider Directory

National Provider Directory
Tax ID family
Lofty Hill and Randolph Optometrists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1714 Washington Blvd
Ste A
Belpre, OH 45714
Phone (740) 423-9521

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1003865833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142096",
            "telephone_number": "740-423-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142096",
            "telephone_number": "740-423-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCITY EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "MARKLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "740-423-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5250508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.