River Country Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004627 Issued in MI

Legal business name

RIVER COUNTRY EYE CARE, PLLC

Practice address

1107 W Broadway St
Suite a
Three Rivers, MI 49093-8376

Phone

(269) 244-3350

Fax

(269) 244-3351

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Adam Goff, OD, FAAONPI 1255643177

Title

Optometrist/Authorized Member

Phone

(269) 244-3350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, IN2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam R Goff, O.D.

  • Optometrist
  • Kalamazoo, MI
  • NPI 1255643177

  IN

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1821442252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W BROADWAY ST",
            "address_2": "SUITE A",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938376",
            "telephone_number": "269-244-3350",
            "fax_number": "269-244-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W BROADWAY ST",
            "address_2": "SUITE A",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938376",
            "telephone_number": "269-244-3350",
            "fax_number": "269-244-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER COUNTRY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OPTOMETRIST/AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "269-244-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Rapin, RD
• Renal Care Group Southwest Michigan, LLC
• Residential Opportunities, Inc.
• Elizabeth Rhodes
• Rite Aid of Michigan Inc
• Riverview Investments & Associates, LLC
• Rachelle Roberts
• Jazzmyne H Robinson
• Blade Evan Rohloff, PT, DPT
• Tracy Rood

• Optometrist in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.