Riverside Physician Services Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Hampton Roads Eye Associates-Hidenwood

Practice address

12420 Warwick Blvd
Suite 1D
Newport News, VA 23606-3001

Phone

(757) 599-0700

Fax

(757) 594-5207

NPI assigned

Jul 15, 2006

Last updated

Oct 14, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVERSIDE HEALTHCARE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

James Lesnick, MD

Title

Vice President

Phone

(757) 594-4006

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hampton Roads Eye Associates-Hidenwood Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Riverside Physician Services Inc

  dba Riverside Gastroenterology Specialists

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1194929026

  5092608448

  Same PAC ID
• Riverside Physician Services Inc

  dba Hampton Roads Eye Associates-Oyster Point

  • Ophthalmology Physician
  • Newport News, VA
  • NPI 1245253152

  5092608448

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rector & Visitors of the University of Virginia

  dba UVA Health Sciences Center

  • Psychiatric Hospital Unit
  • Charlottesville, VA
  • NPI 1184731507

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1083630651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 WARWICK BLVD",
            "address_2": "SUITE 1D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063001",
            "telephone_number": "757-599-0700",
            "fax_number": "757-594-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 WARWICK BLVD",
            "address_2": "SUITE 1D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063001",
            "telephone_number": "757-599-0700",
            "fax_number": "757-594-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "LESNICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083630651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Eye Associates-Hidenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Riverside Physician Services Inc (Riverside Lifelong Health & Aging Services)
• Riverside Physician Services Inc (Riverside Partners in Women's Health Community Clinic)
• Riverside Physician Services Inc (Riverside Renal Specialists)
• Riverside Physician Services Inc (Riverside Hampton Roads Neurosurgical & Spine Specialists)
• Riverside Physician Services Inc (Riverside Neurology Specialists - ACL)
• Riverside Physician Services Inc (Drs Wetchler and Dineen)
• Riverside Physician Services Inc (Riverside Urogynecology Specialists Newport News)

• Ophthalmology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.

Verify at the official NPI Registry.