Organization Active NPI

Sussex Eye Care & Medical Associates PA

Doing business as Atlantic Eye Care

  • Ophthalmology Physician
  • Lewes, DE
National Provider Identifier
1659465805
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C10005278 Issued in DE
Legal business name
SUSSEX EYE CARE & MEDICAL ASSOCIATES PA
Doing business as
Atlantic Eye Care
Practice address
1306 Savannah Rd
Lewes, DE 19958-1526
Phone
(302) 644-8007
Fax
(302) 644-2797
NPI assigned
Oct 3, 2006
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Roldolfo J Rios, MD
Title
Owner
Phone
(302) 644-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X C10005278 DE Primary

Addresses

Primary practice location

1306 Savannah Rd
Lewes, DE 19958-1526

Mailing address

1306 Savannah Rd
Lewes, DE 19958-1526
Phone (302) 644-8007

Other names 1

  • Atlantic Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112000311 DE Part B Supplier - Clinic/Group Practice 1052375805 Receives reassigned benefits from 1 practitioner
Practice locations: Lewes, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2176741Atlantic Eye Care1306 Savannah Rd, Lewes, DE 19958Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

1306 Savannah Rd
Lewes, DE 19958
Phone (302) 644-8007

34446 King Street Row
#1
Lewes, DE 19958
Phone (302) 644-8007

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1659465805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581526",
            "telephone_number": "302-644-8007",
            "fax_number": "302-644-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581526",
            "telephone_number": "302-644-8007",
            "fax_number": "302-644-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX EYE CARE & MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "ROLDOLFO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-644-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C10005278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.