Rivercity Doctors of Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11947T Issued in CA

Legal business name

RIVERCITY DOCTORS OF OPTOMETRY INC.

Practice address

1315 Alhambra Blvd Ste 310
Sacramento, CA 95816-5247

Phone

(916) 452-2020

Fax

(916) 452-3365

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brady P. Rembleski, O.D.NPI 1396895025

Title

Owner

Phone

(916) 452-2020

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Brady P Rembleski, OD

  • Optometrist
  • Sacramento, CA
  • NPI 1396895025
  Medicare reassignment Care Compare group NPD Authorized official
• Hieu Minh Ly, O.D.

  • Optometrist
  • Lodi, CA
  • NPI 1831445352
  Medicare reassignment Care Compare group NPD
• Erin Doxtader, O.D

  • Optometrist
  • Bremerton, WA
  • NPI 1962830117

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1578814430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD STE 310",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165247",
            "telephone_number": "916-452-2020",
            "fax_number": "916-452-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD STE 310",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165247",
            "telephone_number": "916-452-2020",
            "fax_number": "916-452-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCITY DOCTORS OF OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "REMBLESKI",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-452-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11947T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5898T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscila Rayo Rivera
• Richard Michael Rivera, M.D.
• Sara Jane Rivera
• Stephanie Danielle Rivera
• Vivian Lopez Rivera
• Carol A Rivero, PH.D.
• Adrian Rivers
• Riverside Convalescent Hospital, Inc (Applewood Care Center)
• Riverside Hospice Care
• Alix Rives

• Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.