Individual provider Active NPI

Thomas James Riley Jr., O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1104846336
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3114 Issued in WA
Practice address
427 S Bernard St
Spokane, WA 99204-2509
Phone
(509) 456-0107
Fax
(509) 747-2635
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3114 WA Primary
Corneal and Contact Management Optometrist 152WC0802X 3114 WA
Low Vision Rehabilitation Optometrist 152WL0500X 3114 WA
Occupational Vision Optometrist 152WX0102X 3114 WA

Addresses

Primary practice location

427 S Bernard St
Spokane, WA 99204-2509

Mailing address

427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 456-0107

Other identifiers 1

IdentifierTypeStateIssuer
2032795MedicaidWA

Other names 1

  • Thomas James Kavadias Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address thomas.riley@direct.spokaneeye.nextgenshare.com Direct Spokane Eye Clinic PS
FHIR URL https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/ Other Spokane Eye Clinic PS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140221000035 WA Practitioner - Optometry 4587809322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Eye Clinic PSGroup PAC ID 1759278393, 36 clinicians

Practice addresses (Care Compare)

427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 456-0107

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
76.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3114WAMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Eye Clinic PS Optometrist CurrentSince Dec 3, 2013 Accepting new patients
Associated Retinal Consultants LLC Optometrist Current Accepting new patients
Spokane Eye Clinic PS CurrentSince Dec 3, 2013 Accepting new patients

Locations

31 E Central Ave
Spokane, WA 99208
Phone (509) 456-0107

427 S Bernard St
Spokane, WA 99204
Phone (509) 456-0107

9651 N Nevada St
Spokane, WA 99218
Phone (509) 363-2180

16201 E Indiana Ave
Ste 5000
Spokane Valley, WA 99216
Phone (509) 456-0107

Interoperability endpoints

  • Direct secure messaging: thomas.riley@direct.spokaneeye.nextgenshare.com
  • Direct secure messaging: triley@arcnj.intellechartdirect.net

Organizations & group practices 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1104846336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3114",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "3114",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "WA",
            "license": "3114",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "WA",
            "license": "3114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032795",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.riley@direct.spokaneeye.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Secure communication",
            "affiliationName": "Spokane Eye Clinic PS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Referrals or Continuity of care",
            "address_1": "427 S Bernard St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/",
            "affiliation": "Y",
            "affiliationName": "Spokane Eye Clinic PS",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "API",
            "address_1": "427 S Bernard St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "KAVADIAS",
            "middle_name": "JAMES",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.