Riverside Physician Services Inc
Organization Active NPI Ophthalmology Physician · Newport News, VA
NPI 1245253152 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1245253152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- RIVERSIDE PHYSICIAN SERVICES INC
- Practice address
- 11800 Rock Landing Dr
Newport News, VA 23606-4206 - Phone
- (757) 643-8800
- Fax
- (757) 643-8919
- NPI assigned
- Jul 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- RIVERSIDE HEALTHCARE ASSOCIATES
Authorized official
- Name
- James Lesnick, MD
- Title
- Vice President
- Phone
- (757) 594-4006
Other NPIs with the same Medicare PAC ID 2
Member of 1
Practitioners 793
-
Abdallah Abdelrazeq, M.D
-
Maen Abou Ziki, MD
-
Anthony M Abraham, D.O.
-
Sarah M. Abuali, MD, MPH, MSCBR
-
Roshan Acharya, M.D.
-
Elsie Achieng, M.D.
-
Jessica L Adams, NP
-
Mary Elizabeth Adams, N.P.
-
Joseph T Adinaro, MD
-
Imran Ahmad, MD
-
Tasmia Ahmed, M.D.
-
Nelson Enor Airewele, M.D
-
Andrea Jacqueline Alejo, M.D.
-
Philip C Alexander, FNP
-
Ivan Alger, DO
-
Deborah Almeda, FNP-C
-
David Harvey Alpert, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hampton Roads Eye Associates Oyster |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040207000400 | VA | Part B Supplier - Clinic/Group Practice | 5092608448 |
Receives reassigned benefits from 1,191 practitioners This NPI is an additional NPI on the enrollment |
| O20100930027618 | VA | DME Supplier - Physician - Optometrist |
5092608448 | Practice locations: Newport News, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
11800 Rock Landing Dr
Newport News, VA 23606-4206
Mailing address
11800 Rock Landing Dr
Newport News, VA 23606-4206
Phone (757) 643-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245253152 | Medicaid | VA |
Other names
- Hampton Roads Eye Associates-Oyster Point
Other providers in Newport News, VA
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
All providers in Newport News, VA · Ophthalmology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.