Organization Active NPI

Riverview Optical Inc.

Doing business as Wesley Chapel Eyecare

  • Optician
  • Wesley Chapel, FL
National Provider Identifier
1225591746
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
RIVERVIEW OPTICAL INC.
Doing business as
Wesley Chapel Eyecare
Practice address
33913 State Road 54
Suite 102
Wesley Chapel, FL 33543
Phone
(813) 996-2020
Fax
(813) 815-9635
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Mr. Karl Marvel, DO
Title
President
Phone
(813) 996-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

33913 State Road 54
Suite 102
Wesley Chapel, FL 33543

Mailing address

33913 State Road 54
Suite 102
Wesley Chapel, FL 33543
Phone (813) 996-2020

Other identifiers 1

IdentifierTypeStateIssuer
630074000MedicaidFL

Other names 1

  • Wesley Chapel Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

33913 Wesley Chapel Blvd
Ste 102
Wesley Chapel, FL 33543
Phone (813) 996-2020

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1225591746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33913 STATE ROAD 54",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-996-2020",
            "fax_number": "813-815-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33913 STATE ROAD 54",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-996-2020",
            "fax_number": "813-815-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "MARVEL",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-996-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630074000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Chapel Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.