Riverbend Ophthalmologists, LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RIVERBEND OPHTHALMOLOGISTS, LTD

Practice address

1310 Dadrian Professional Park
Godfrey, IL 62035-1685

Phone

(618) 433-5005

Fax

(618) 467-1053

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

James Melvin Hudson, M.D.NPI 1013994144

Title

President

Phone

(618) 433-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• James Melvin Hudson, M.D.

  • Ophthalmology Physician
  • Godfrey, IL
  • NPI 1013994144
  NPD (past) Authorized official
• Andrew Ibisch, OD

  • Optometrist
  • Godfrey, IL
  • NPI 1700356912
  NPD (past)
• Karen Lordo Segrist, M.D.

  • Ophthalmology Physician
  • Godfrey, IL
  • NPI 1528045663
  NPD (past)
• Samuel Shelton Killion, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1285366310
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1013994151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351685",
            "telephone_number": "618-433-5005",
            "fax_number": "618-467-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351685",
            "telephone_number": "618-433-5005",
            "fax_number": "618-467-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND OPHTHALMOLOGISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-433-5005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DA7199",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel William Regnery, RPH
• Residential Options, Inc
• Residential Options, Inc
• Residential Options, Inc.
• Christen E Rincker, FNP
• Faith Julia Robinson
• Heather Ann Robinson, LPTA
• Gwendolyn Rae Page Rodriguez, BCBA
• Jennifer Marie Roland, M.S. CCC-SLP
• Rose Optical, Inc.

• Ophthalmology Physician in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.