Organization Active NPI

Michael Sumsion MD Dba Riverside Eyecare Professionals

Doing business as Riverside EyeCare Professionals

  • Ophthalmology Physician
  • Redding, CA
National Provider Identifier
1710936539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MICHAEL SUMSION MD DBA RIVERSIDE EYECARE PROFESSIONALS
Doing business as
Riverside EyeCare Professionals
Practice address
2801 Park Marina Dr
Redding, CA 96001-2822
Phone
(530) 244-2273
Fax
(530) 244-2708
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan McEwen
Title
Administrator
Phone
(530) 244-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2801 Park Marina Dr
Redding, CA 96001-2822

Mailing address

2801 Park Marina Dr
Redding, CA 96001-2822
Phone (530) 244-2273

Other identifiers 2

IdentifierTypeStateIssuer
GR0080870MedicaidCA
ZZZ55925ZOtherCABLUE SHIELD

Other names 1

  • Riverside EyeCare Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

2801 Park Marina Dr
Redding, CA 96001
Phone (530) 244-2273

Practitioners & affiliated clinicians

Practitioners 2

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710936539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SUMSION MD DBA RIVERSIDE EYECARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-244-2273"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ55925Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside EyeCare Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.