Individual provider Active NPI

Ripon Wilson La Roche II, MD

  • Ophthalmology Physician
  • Farmville, VA
National Provider Identifier
1700810918
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101033222 Issued in VA
Practice address
1511 W Third St
Farmville, VA 23901
Phone
(434) 392-9555
Fax
(434) 392-1524
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101033222 VA Primary

Addresses

Primary practice location

1511 W Third St
Farmville, VA 23901

Mailing address

PO Box 506
Farmville, VA 23901-0506
Phone (434) 392-9555

Other identifiers 2

IdentifierTypeStateIssuer
006324380MedicaidVA
071761OtherVAANTHEM BCBS VA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000142 VA Practitioner - Ophthalmology 3476463365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southside Eye Center PCGroup PAC ID 7315075231, 3 clinicians

Practice addresses (Care Compare)

1511 W 3Rd St
Farmville, VA 23901-2649
Phone (434) 392-9555

1511 W 3Rd St
PO Box 506
Farmville, VA 23901-0506

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101033222VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Eye Center PC Ophthalmology CurrentSince Jun 30, 1981 Accepting new patients
Southside Optical Center LLC Ophthalmology PastSince Jan 15, 1997 Accepting new patients

Locations

1511 W 3rd St
Farmville, VA 23901
Phone (434) 392-9555

Interoperability endpoints

  • Direct secure messaging: rwlaroche@southsideeyecenter.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1700810918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010506",
            "telephone_number": "434-392-9555",
            "fax_number": "434-392-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W THIRD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-9555",
            "fax_number": "434-392-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROCHE",
        "first_name": "RIPON",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101033222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006324380",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS VA",
            "identifier": "071761",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.