William Matthew Riley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AA215 Issued in AK

Practice address

1867 Airport Way Ste 150a
Fairbanks, AK 99701-4061

Phone

(907) 452-4829

Fax

(907) 452-4829

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riley Vision P.C.

  • Exclusive Provider Organization
  • Fairbanks, AK
  • NPI 1922141506
  Medicare reassignment NPD
• Winslow Indian Health Care Center, Inc

  dba Leupp Health Station

  • Federal Public Health Clinic/Center
  • Leupp, AZ
  • NPI 1760652580
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568478782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71618",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997071618",
            "telephone_number": "928-607-7119",
            "fax_number": "907-452-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 150A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014061",
            "telephone_number": "907-452-4829",
            "fax_number": "907-452-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "WILLIAM",
        "middle_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgeview Chiropractic PC
• Brandon Lee Ried
• Jesse William Riehm, BSW, ETT
• Alyson Rigby, L.M.T.
• Riley Vision P.C.
• Camilla Maree Slagle Ringler, RN
• Conner Alexander Ringstad
• Jaime Nicole Ringstad, ED.D., LPC, MAC
• Celina Nichole Risner, CDC I
• Marjorie Lynne Risner, CDCII

• Optometrist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.