Individual provider Active NPI

Suzanne Elaine Riffel, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1073812061
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
450 Issued in NV
Practice address
2075 Festival Plaza Dr
Las Vegas, NV 89135-1446
Phone
(702) 341-0255
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 450 NV Primary

Addresses

Primary practice location

2075 Festival Plaza Dr
Las Vegas, NV 89135-1446

Mailing address

1975 Alcova Ridge Dr
Las Vegas, NV 89135-1551
Phone (702) 341-0255

Other practice location 1

1975 Alcova Ridge Dr
Las Vegas, NV 89135-1551
Phone (702) 562-2236

Other identifiers 1

IdentifierTypeStateIssuer
450OtherNVNEVADA STATE BOARD OF OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103000745 GA Practitioner - Optometry 3072852995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Russell D. Springer PCGroup PAC ID 5698987790, 5 clinicians
East Athens Family Vision LLCGroup PAC ID 0244643211, 4 clinicians

Practice addresses (Care Compare)

270 Hawthorne Ave
Athens, GA 30606-2881
Phone (706) 543-3599

850 Gaines School Rd
Athens, GA 30605-3132
Phone (706) 805-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
450NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Russell D Springer PC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
East Athens Family Vision, LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients

Locations

850 Gaines School Rd
Athens, GA 30605
Phone (706) 805-7101

270 Hawthorne Ave
Athens, GA 30606
Phone (706) 543-3599

Organizations & group practices 2

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1073812061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 ALCOVA RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351551",
            "telephone_number": "702-341-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FESTIVAL PLAZA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351446",
            "telephone_number": "702-341-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Alcova Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891351551",
            "country_code": "US",
            "telephone_number": "702-562-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFFEL",
        "first_name": "SUZANNE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF OPTOMETRY",
            "identifier": "450",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.