Active NPI
Riverside Eye Center PLLC
- Ophthalmology Physician
- Sebastian, FL
National Provider Identifier
1093198350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME77798
- Legal business name
- RIVERSIDE EYE CENTER PLLC
- Practice address
- 14410 US Highway 1
Sebastian, FL 32958-3237 - Phone
- (772) 589-8911
- Fax
- (772) 589-7561
- NPI assigned
- Jul 6, 2015
- 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
- Brent Steinwand, MD
- Title
- Ceo
- Phone
- (772) 589-6625
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | ME77798 | FL | Primary |
Addresses
Primary practice location
14410 US Highway 1
Sebastian, FL 32958-3237
Mailing address
14410 US Highway 1
Sebastian, FL 32958-3237
Phone (772) 589-8911
Other names 1
- Riverside Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2108638 | Riverside Eye Center PLLC | Certificate of waiver | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Palm Bay, FL
- NPI 1225161094
-
- Anesthesiology Physician
- Vero Beach, FL
- NPI 1699743583
-
- Ophthalmology Physician
- Sebastian, FL
- NPI 1932199916
-
- Ophthalmology Physician
- Sebastian, FL
- NPI 1053541946
-
- Optometrist
- Sebastian, FL
- NPI 1700824208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436140800000",
"number": "1093198350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14410 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583237",
"telephone_number": "772-589-8911",
"fax_number": "772-589-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14410 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583237",
"telephone_number": "772-589-8911",
"fax_number": "772-589-7561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE EYE CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-06",
"last_updated": "2015-07-06",
"status": "A",
"authorized_official_last_name": "STEINWAND",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-589-6625",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME77798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.