Organization Active NPI

Riverside Eyecare Professionals Inc a Medical Corporation

  • Ophthalmology Physician
  • Redding, CA
National Provider Identifier
1265158703
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION
Practice address
2801 Park Marina Dr
Redding, CA 96001-2822
Phone
(530) 244-2273
Fax
(530) 244-2708
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Scott T Sumsion
Title
Administrator
Phone
(530) 244-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2801 Park Marina Dr
Redding, CA 96001-2822

Mailing address

2801 Park Marina Dr
Redding, CA 96001-2822
Phone (530) 244-2273

Other names 1

  • Riverside Eye Care Professionals Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230324001947 CA Part B Supplier - Clinic/Group Practice 4183098502 Receives reassigned benefits from 3 practitioners
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1265158703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SUMSION",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-244-2273"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Eye Care Professionals",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Riverside Eye Care Professionals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.