Active NPI
Riverdale Ophthalmology PLLC
Doing business as Riverdale Vision Center
- Ophthalmology Physician
- Bronx, NY
National Provider Identifier
1083114375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 250274
- Legal business name
- RIVERDALE OPHTHALMOLOGY PLLC
- Doing business as
- Riverdale Vision Center
- Practice address
- 3220 Fairfield Ave Ofc 1
Bronx, NY 10463 - Phone
- (913) 908-0904
- NPI assigned
- Feb 13, 2018
- Last updated
- Aug 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tod M Haller, MD
- Title
- Physician
- Phone
- (913) 908-0904
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 250274 | NY | Primary |
Addresses
Primary practice location
3220 Fairfield Ave Ofc 1
Bronx, NY 10463
Mailing address
3220 Fairfield Ave Ofc 1
Bronx, NY 10463-3240
Other names 1
- Riverdale Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3220 Fairfield Ave
Ofc 1
Bronx, NY 10463
Phone (913) 908-0904
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1740457548
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1427285238
-
- Ophthalmology Physician
- Middletown, NY
- NPI 1073806212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535587200000",
"number": "1083114375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 FAIRFIELD AVE OFC 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104633240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 FAIRFIELD AVE OFC 1",
"city": "BRONX",
"state": "NY",
"postal_code": "10463",
"telephone_number": "913-908-0904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERDALE OPHTHALMOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-13",
"last_updated": "2018-08-30",
"status": "A",
"authorized_official_last_name": "HALLER",
"authorized_official_first_name": "TOD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "913-908-0904",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "250274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverdale Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
- Riverdale Mental Health Association Inc
- Riverdale Mental Health Association Inc. (Mosiac Mental Health)
- Riverdale Mental Health Clinic-Mica PGRM
- Riverdale Nursing Home Inc
- Riverdale Nurturing Daycare LLC (Doula Family Empowerment)
- Riverdale Optometry (Riverdale Eye Care)
- Riverdale Oral & Maxillofacial Surgery PC
- Riverdale Oral Health & Implant Center, LLC
- Riverdale Pediatrics, P.C.
- Riverdale Pharmacy LLC (Riverdale Specialty Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.