Individual provider Active NPI

John Andrew Riley, O.D.

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1003997305
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1207 Issued in AZ
Practice address
3931 S Gilbert Rd
Gilbert, AZ 85297-2004
Phone
(480) 281-0204
Fax
(480) 281-0206
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1207 AZ Primary

Addresses

Primary practice location

3931 S Gilbert Rd
Gilbert, AZ 85297-2004

Mailing address

530 E Hunt Hwy
Ste 103
San Tan Valley, AZ 85143-6582
Phone (520) 251-3688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1112AZMDPsychologist
1207AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Sight, PLLC Optometrist Current Accepting new patients
Troy S Ford OD PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients
Ryan C Stuart OD PC Optometrist Past Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
John a. Riley, PC Optometrist Past Accepting new patients

Locations

3931 S Gilbert Rd
Gilbert, AZ 85297
Phone (480) 281-0202

21398 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 214-4811

Networks

  • NM HMO C-SNP

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1003997305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E HUNT HWY",
            "address_2": "STE 103",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436582",
            "telephone_number": "520-251-3688",
            "fax_number": "480-281-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 S GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972004",
            "telephone_number": "480-281-0204",
            "fax_number": "480-281-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.