Riverside Eye Center PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIVERSIDE EYE CENTER PA

Practice address

475 Lisbon St
Lewiston, ME 04240-7418

Phone

(207) 786-2500

Fax

(207) 786-2503

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Janice Fournier, CMPE

Title

Practice Administrator

Phone

(207) 786-1917

Specialties & licenses 1

Addresses

Other names 1

• Riverside Eye Surgery Center Other name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Riverside Eye Center PA

  • Ophthalmology Physician
  • Lewiston, ME
  • NPI 1780879510

  0840266342

  Same PAC ID

Locations

Practitioners 8

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

• Melissa Sue Frank, O.D.

  • Optometrist
  • Aubrun, ME
  • NPI 1649476698
  NPD
• Jessica L Ray, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
  • NPI 1043459100
  NPD
• Garrett F Smith, PA-C

  • Physician Assistant
  • Kingfield, ME
  • NPI 1811208887
  NPD
• Rachel M Sugal, O.D.

  • Optometrist
  • Norway, ME
  • NPI 1164737698
  NPD
• Tara L. Sullivan, O.D.

  • Optometrist
  • Auburn, ME
  • NPI 1518410133
  NPD
• Martin D Whitaker, M.D.

  • Ophthalmology Physician
  • Norway, ME
  • NPI 1003805995
  NPD
• Alethea Ann Hein, M.D.

  • Ophthalmology Physician
  • Dubuque, IA
  • NPI 1316174931
  NPD
• Susan Stefko

  • Specialist
  • Pittsburgh, PA
  • NPI 1215902259
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1396427407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407418",
            "telephone_number": "207-786-2500",
            "fax_number": "207-786-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407418",
            "telephone_number": "207-786-2500",
            "fax_number": "207-786-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-786-1917",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Eye Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seth Ritter, M.D.
• John Ritzo, MD
• Holly Rivard, PT
• Jennifer Leigh Rivard, OT
• Raymond Rivera, PT
• Riverside Eye Center PA
• Riverside Isurgery
• Matthew David Rivkin
• Robert a. Sylvester, MD, PA
• Jennifer Robert

• Ambulatory Surgical Clinic/Center in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Ambulatory Surgical Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.