Active NPI
Arnold Riback, OD
- Optometrist
- Nazareth, PA
National Provider Identifier
1679686612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0EG001005
- Practice address
- 848 Nazareth PK
Nazareth, PA 18064 - Phone
- (610) 746-0992
- Fax
- (610) 365-8468
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0EG001005 | PA | Primary |
Addresses
Primary practice location
848 Nazareth PK
Nazareth, PA 18064
Mailing address
848 Nazareth PK
Suite 8
Nazareth, PA 18064
Phone (610) 746-0992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130000745 | PA | Practitioner - Optometry | 0749476919 | Practice locations: Easton, PA; Nazareth, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0EG001005 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679686612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 NAZARETH PK",
"address_2": "SUITE 8",
"city": "NAZARETH",
"state": "PA",
"postal_code": "18064",
"telephone_number": "610-746-0992",
"fax_number": "610-365-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 NAZARETH PK",
"city": "NAZARETH",
"state": "PA",
"postal_code": "18064",
"telephone_number": "610-746-0992",
"fax_number": "610-365-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBACK",
"first_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "0EG001005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.