Organization Active NPI

River Hill Optical, Inc.

Doing business as River Hill Optical

  • Optometrist
  • Clarksville, MD
National Provider Identifier
1205573482
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RIVER HILL OPTICAL, INC.
Doing business as
River Hill Optical
Practice address
6030 Daybreak Cir Ste A550
Clarksville, MD 21029-1642
Phone
(410) 531-7920
Fax
(410) 531-5585
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Stephen C Flemke, DO
Title
Owner
Phone
(410) 531-7920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6030 Daybreak Cir Ste A550
Clarksville, MD 21029-1642

Mailing address

10255 York Rd
Cockeysville, MD 21030-3201

Other names 1

  • River Hill Optical Doing business as

National Provider Directory

National Provider Directory

Locations

6030 Daybreak Cir
Ste A550
Clarksville, MD 21029
Phone (410) 531-7920

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1205573482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 YORK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR STE A550",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291642",
            "telephone_number": "410-531-7920",
            "fax_number": "410-531-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HILL OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "FLEMKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-531-7920",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Hill Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.