Mark S Riaboy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2580TG Issued in TX

Practice address

2339 Gus Thomasson Rd
Dallas, TX 75228-3004

Phone

(214) 327-2490

Fax

(214) 324-4963

NPI assigned

Oct 20, 2005

Last updated

Apr 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: markriaboy@direct.eyecareteam.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark S Riaboy OD PC

  dba Mark S Riaboy OD

  • Optometrist
  • Dallas, TX
  • NPI 1114104361
  Authorized official Same address or phone

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1104815281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283004",
            "telephone_number": "214-327-2490",
            "fax_number": "214-324-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283004",
            "telephone_number": "214-327-2490",
            "fax_number": "214-324-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIABOY",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2580TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.