Riverpark Eyecare PLLC
Organization Active NPI Optometrist · Owensboro, KY
NPI 1508995895 · NPPES record last updated Dec 27, 2007
Key facts
- NPI
- 1508995895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- RIVERPARK EYECARE PLLC
- Practice address
- 221 Allen St
Owensboro, KY 42303-4139 - Phone
- (270) 685-4966
- Fax
- (270) 686-8058
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John C Schertzinger, OD
- Title
- Managing Member
- Phone
- (270) 685-4966
Practitioners 5
-
Robert A. Hamilton, D.O.
-
Elizabeth Mauzy Martin, O.D.
-
Michael S. Shields, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040122000306 | KY | Part B Supplier - Clinic/Group Practice | 5294637120 |
Receives reassigned benefits from 5 practitioners Practice locations: Owensboro, KY |
National Provider Directory
Locations
221 Allen St
Owensboro, KY 42303
Phone (270) 685-4966
2905 New Hartford Rd
Owensboro, KY 42303
Phone (270) 685-4966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
221 Allen St
Owensboro, KY 42303-4139
Mailing address
221 Allen St
Owensboro, KY 42303-4139
Phone (270) 685-4966
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77900629 | Medicaid | KY |
Other providers in Owensboro, KY
- Bridget Ritchie
- Riter Speech & Language Therapy LLC
- Karissa Riter
- Maria Elena Rivas
- Riverbend Physical Medicine & Rehabilitation, PLLC
- Rivervalley Behavioral Health Inc
- Rivervalley Behavioral Health Inc
- Rivervalley Behavioral Health Inc
- Rivervalley Behavioral Health Inc
- Rivervalley Behavioral Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.