Organization Active NPI

Riverside Eye Center LLC

  • Optometrist
  • Upper Arlington, OH
National Provider Identifier
1326530833
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5788 Issued in OH
Legal business name
RIVERSIDE EYE CENTER LLC
Practice address
3434 Riverside Dr
Upper Arlington, OH 43221-1743
Phone
(614) 273-0393
Fax
(614) 273-0131
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dr. Darrell Dye, ODNPI 1336303155
Title
Optometrist/Owner
Phone
(614) 273-0393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5788 OH Primary

Addresses

Primary practice location

3434 Riverside Dr
Upper Arlington, OH 43221-1743

Mailing address

3434 Riverside Dr
Upper Arlington, OH 43221-1743
Phone (614) 273-0393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718000841 OH Part B Supplier - Clinic/Group Practice 1759638059 Receives reassigned benefits from 3 practitioners
Practice locations: Upper Arlington, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2197253Riverside Eye Center, LLC3434 Riverside Drive, Columbus, OH 43221Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Locations

3434 Riverside Dr
Upper Arlington, OH 43221
Phone (614) 273-0393

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1326530833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 RIVERSIDE DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211743",
            "telephone_number": "614-273-0393",
            "fax_number": "614-273-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 RIVERSIDE DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211743",
            "telephone_number": "614-273-0393",
            "fax_number": "614-273-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "614-273-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.