River Valley Eye Associates Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

RIVER VALLEY EYE ASSOCIATES INC.

Doing business as

River Valley Eye Professionals

Practice address

2019 Jefferson Rd
Suite B
Northfield, MN 55057-3258

Phone

(507) 645-2020

Fax

(507) 645-9203

NPI assigned

Oct 4, 2006

Last updated

Jan 17, 2013By 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. Patrick O'Neill, O.D.NPI 1285631895

Title

Owner

Phone

(507) 645-9202

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• River Valley Eye Professionals Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• River Valley Eye Associates, Inc

  dba River Valley Eye Professionals

  • Clinic/Center
  • Northfield, MN
  • NPI 1518057553

  O20130424001090

  Same enrollment

Locations

Practitioners 2

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.

• Patrick William O'Neill, O.D.

  • Pediatric Optometrist
  • Northfield, MN
  • NPI 1285631895
  Authorized official Same address or phone
• James Robert Gutfleisch, O.D.

  • Optometrist
  • Northfield, MN
  • NPI 1982600524
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1508951765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 JEFFERSON RD",
            "address_2": "SUITE B",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573258",
            "telephone_number": "507-645-2020",
            "fax_number": "507-645-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 JEFFERSON RD",
            "address_2": "SUITE B",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573258",
            "telephone_number": "507-645-2020",
            "fax_number": "507-645-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY EYE ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-645-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313638800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "367R8NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-00444",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Eye Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Riley
• Ryan Raymond Riley, CRNA
• Sylvia Jane Rinehart, PHD
• Amy L Ripley, MD
• Rise Acupuncture and Wellness LLC
• River Valley Eye Associates, Inc (River Valley Eye Professionals)
• Ella Rivera
• Molly Meri Robinson, D.C.
• Nicole Susan Dahle Robinson, MS, RDN, LD
• Tena Buell Roethle, LICSW

• Eyewear Supplier in Northfield, MN
• Providers in Northfield, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.