NPIMap

Organization Active NPI

James River Eye Associates

  • Optometrist
  • Richmond, VA
National Provider Identifier
1487918132
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000110 Issued in VA
Legal business name
JAMES RIVER EYE ASSOCIATES
Practice address
5617 W Broad St
Richmond, VA 23230-2614
Phone
(804) 282-7228
Fax
(804) 285-3781
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Robert G. Rainer, ODNPI 1164514311
Title
President
Phone
(508) 837-3790

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 0618000110 VA Primary

Addresses

Primary practice location

5617 W Broad St
Richmond, VA 23230-2614

Mailing address

5617 W Broad St
Richmond, VA 23230-2614
Phone (508) 837-3790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000004 VA Part B Supplier - Clinic/Group Practice 1557510831 Receives reassigned benefits from 6 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

Practitioners & affiliated clinicians

Practitioners 6

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": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1487918132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302614",
            "telephone_number": "508-837-3790",
            "fax_number": "804-285-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302614",
            "telephone_number": "804-282-7228",
            "fax_number": "804-285-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RIVER EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "RAINER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-837-3790",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.