Active NPI
Riverside Physician Services Inc
Doing business as Hampton Roads Eye Associates-Gloucester
- Ophthalmology Physician
- Gloucester, VA
National Provider Identifier
1467659797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RIVERSIDE PHYSICIAN SERVICES INC
- Doing business as
- Hampton Roads Eye Associates-Gloucester
- Practice address
- 7590 Hospital Dr
BLDG C, Suite 204
Gloucester, VA 23061-4178 - Phone
- (804) 693-5560
- Fax
- (804) 693-0457
- NPI assigned
- Jun 29, 2007
- Last updated
- Sep 27, 2011
- Organization subpart
- Yes
- Parent organization
- RIVERSIDE PHYSICIAN SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Lesnick, MD
- Title
- Vice President
- Phone
- (757) 594-4006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
7590 Hospital Dr
BLDG C, Suite 204
Gloucester, VA 23061-4178
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- Hampton Roads Eye Associates-Gloucester
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040207000400 | VA | Part B Supplier - Clinic/Group Practice | 5092608448 |
Receives reassigned benefits from 1,191 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Steven G Spellman MD
Locations
7590 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-5560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1467659797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-594-4006",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7590 HOSPITAL DR",
"address_2": "BLDG C, SUITE 204",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614178",
"telephone_number": "804-693-5560",
"fax_number": "804-693-0457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
"enumeration_date": "2007-06-29",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "LESNICK",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "757-594-4006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hampton Roads Eye Associates-Gloucester",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gloucester, VA
- Riverside Physician Services Inc (Riverside Partners in Women's Health Gloucester)
- Riverside Physician Services Inc (Riverside Radiation Oncology Specialists)
- Riverside Physician Services Inc (Riverside Walter Reed Hospitalists)
- Riverside Physician Services Inc (Riverside Urology Specialists)
- Riverside Physician Services Inc (Women's Healthcare)
- Riverside Physician Services Inc
- Riverside Physician Services Inc (Riverside Renal Specialists)
- Riverside Physician Services Inc (Riverside Gloucester Palliative Care and Hospice Specialists)
- Riverside Physician Services Inc (Riverside Pulmonary and Sleep Specialists Gloucester)
- Riverside Physician Services Inc (Internal Medicince Associates of Gloucester)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.