Organization Active NPI

Riverhill Ophthalmology, P.a.

  • Ophthalmology Physician
  • Kerrville, TX
National Provider Identifier
1396704805
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L6258 Issued in TX
Legal business name
RIVERHILL OPHTHALMOLOGY, P.A.
Practice address
601 Clay St
Kerrville, TX 78028-4527
Phone
(830) 792-5059
Fax
(830) 792-5062
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Nancy Alvarez Chedzoy, M.D.
Title
Consultant
Phone
(830) 792-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X L6258 TX Primary

Addresses

Primary practice location

601 Clay St
Kerrville, TX 78028-4527

Mailing address

317 Sidney Baker St S
Ste 400 PMB 112
Kerrville, TX 78028-5948
Phone (830) 792-5059

Other identifiers 2

IdentifierTypeStateIssuer
0057NEOtherTXBCBS OF TEXAS
00W118OtherTXMEDICARE ID-TYPE UNSPECIF

National Provider Directory

National Provider Directory

Locations

317 Sidney Baker St S
#400112
Kerrville, TX 78028

601 Clay St
Kerrville, TX 78028
Phone (830) 792-5059

710 Water St
Ste 704
Kerrville, TX 78028
Phone (830) 370-4960

Practitioners & affiliated clinicians

Practitioners 1

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1396704805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SIDNEY BAKER ST S",
            "address_2": "STE 400 PMB 112",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285948",
            "telephone_number": "830-792-5059",
            "fax_number": "830-792-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLAY ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284527",
            "telephone_number": "830-792-5059",
            "fax_number": "830-792-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERHILL OPHTHALMOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ CHEDZOY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "830-792-5059",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L6258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0057NE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIF",
            "identifier": "00W118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.