Southside Optical Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

528 Issued in VA

Legal business name

SOUTHSIDE OPTICAL CENTER LLC

Practice address

1511 W Third St
Farmville, VA 23901

Phone

(434) 392-9555

Fax

(434) 392-1524

NPI assigned

Jul 31, 2006

Last updated

Jan 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ripon W Laroche II, MD

Title

President Owner

Phone

(434) 392-9555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

Medicare medical equipment & supply locations

Practitioners 3

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.

• Ripon W La Roche III, MD

  • Optometrist
  • Farmville, VA
  • NPI 1952962359
  NPD (past)
• Ripon Wilson La Roche II, MD

  • Ophthalmology Physician
  • Farmville, VA
  • NPI 1700810918
  NPD (past)
• St. Clair Reeves La Roche, O.D.

  • Optometrist
  • Farmville, VA
  • NPI 1730593229
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1386650729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010506",
            "telephone_number": "434-392-9555",
            "fax_number": "434-392-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W THIRD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-9555",
            "fax_number": "434-392-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE OPTICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "LAROCHE",
        "authorized_official_first_name": "RIPON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "434-392-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009280553",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southside Community Hospital, Inc. (Centra Hospice Farmville)
• Southside Community Hospital, Inc. (Centra Southside Community Hospital)
• Southside Eye Center PC
• Southside Internal Medicine, PC
• Southside Medical Practice PLLC
• Southside Orthopedic Associates, PC
• Southside Therapy Associates, Inc. (Progressive Therapy)
• Southside Urology Clinic PC
• Southside VA Family Young Men's Christian Association
• Sozo Healthcare, LLC

• Ophthalmology Physician in Farmville, VA
• Providers in Farmville, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.