Individual provider Active NPI

Riya Rose Philip, OD

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1295402725
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025046958 Issued in MO
Practice address
4901 Forest Park Ave
Dept Ophthalmology, 6TH FL
Saint Louis, MO 63108-1495
Phone
(314) 362-3937
Fax
(866) 505-8818
NPI assigned
Aug 24, 2021
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2025046958 MO Primary

Addresses

Primary practice location

4901 Forest Park Ave
Dept Ophthalmology, 6TH FL
Saint Louis, MO 63108-1495

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-3937

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221220000979 IL Practitioner - Optometry 1658740311 Reassigns benefits to 4 organizations
I20260401003298 MO Practitioner - Optometry 1658740311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians
SKK Optometrists PLLCGroup PAC ID 6507135142, 3 clinicians
Grayslake Eyecare Assoc LTDGroup PAC ID 8527338532, 3 clinicians
Antioch Eyecare LLCGroup PAC ID 0648548545, 2 clinicians

Practice addresses (Care Compare)

4901 Forest Park Ave
FL 6
Saint Louis, MO 63108-1495
Phone (314) 362-3937

534 N Rand Rd
Lake Zurich, IL 60047-3103
Phone (847) 550-5228

661 N Lake St
Grayslake, IL 60030-1471
Phone (847) 223-7600

735 Main St
Antioch, IL 60002-1321
Phone (847) 395-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025046958MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grayslake Eyecare Assoc LTD Optometrist CurrentSince Nov 4, 2022 Accepting new patients
Alan Optical PLLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Antioch Eyecare LLC Optometrist CurrentSince Sep 9, 2022 Accepting new patients
Oneopto Il 1 PLLC Optometrist CurrentSince Sep 28, 2025 Accepting new patients
SKK Optometrists PLLC Optometrist CurrentSince Apr 15, 2023 Accepting new patients
United Eye Care Providers, LLC Optometrist Past Accepting new patients

Locations

735 Main St
Antioch, IL 60002
Phone (847) 395-8885

400 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 459-9119

400 W Dundee Rd
Ste 14
Buffalo Grove, IL 60089

400 W Dundee Rd
Ste 1415
Buffalo Grove, IL 60089
Phone (847) 459-9119

661 N Lake St
Grayslake, IL 60030
Phone (847) 223-7600

534 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 550-5228

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1295402725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-3937",
            "fax_number": "866-505-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE",
            "address_2": "DEPT OPHTHALMOLOGY, 6TH FL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081495",
            "telephone_number": "314-362-3937",
            "fax_number": "866-505-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "RIYA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025046958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4901 Forest Park Ave",
            "address_2": "Dept Ophthalmology, 6th Fl",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631081495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.