Active NPI
Angel L. Rivera, D.O. , M.S.
- Optometrist
- Tallahassee, FL
National Provider Identifier
1184614232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP1000120
- Practice address
- 1607 Saint James CT
Tallahassee, FL 32308-5352 - Phone
- (850) 878-0191
- Fax
- (850) 878-8900
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000337 | PR | |
| Optometrist | 152W00000X | OP1000120 | DC | Primary |
Addresses
Primary practice location
1607 Saint James CT
Tallahassee, FL 32308-5352
Mailing address
9225 Treasure Oak CT
Lorton, VA 22079-1649
Phone (703) 339-8852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000120 | DC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1184614232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 TREASURE OAK CT",
"city": "LORTON",
"state": "VA",
"postal_code": "220791649",
"telephone_number": "703-339-8852",
"fax_number": "850-878-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 SAINT JAMES CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085352",
"telephone_number": "850-878-0191",
"fax_number": "850-878-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANGEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O. , M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "000337",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.