Riverside Family Eye Center LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2189 Issued in IA

Legal business name

RIVERSIDE FAMILY EYE CENTER LLC

Practice address

126 S Cody Rd
Le Claire, IA 52753-9236

Phone

(563) 289-2020

Fax

(563) 289-2011

NPI assigned

Oct 17, 2007

Last updated

Jul 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Anne Nix, ODNPI 1225094881

Title

Optometrist

Phone

(563) 289-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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.

• Lisa Anne Nix, O.D.

  • Corneal and Contact Management Optometrist
  • Le Claire, IA
  • NPI 1225094881
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1750570446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527530006",
            "telephone_number": "563-289-2020",
            "fax_number": "563-289-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S CODY RD",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539236",
            "telephone_number": "563-289-2020",
            "fax_number": "563-289-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "563-289-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IA",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223669",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin A Miller, MD
• Brett Cortney Nielsen, DC
• Lisa Anne Nix, O.D.
• Physical Therapy Consultants, LC
• Warne Franklin Ramsey, MD
• Riverview Partners LLC (Riverview Dental Specialists)
• Riverview Urgent Care LLP (Riverview Medical Clinic)
• Setchell Chiropractic PC (Setchell Chiropractic)
• Kimberly Ann Shaw, PA-C
• Shepherd Chiropractic PLLC

• Point of Service in Le Claire, IA
• Providers in Le Claire, IA by specialty
• Point of Service in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.