NPIMap

Organization Active NPI

River View Family Eyecare, LLC

  • Optometrist
  • Albany, OR
National Provider Identifier
1851601561
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3304ATI Issued in OR
Legal business name
RIVER VIEW FAMILY EYECARE, LLC
Practice address
609 Hickory St NW
Ste. 160
Albany, OR 97321-1763
Phone
(541) 967-3097
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Dr. Kelly G. Batey, O.D.
Title
Manager
Phone
(901) 652-7312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3304ATI OR Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3346ATI OR

Addresses

Primary practice location

609 Hickory St NW
Ste. 160
Albany, OR 97321-1763

Mailing address

27652 Fern Ridge Rd
Sweet Home, OR 97386-9529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110208000796 OR Part B Supplier - Clinic/Group Practice 4385824374 Receives reassigned benefits from 3 practitioners
Practice locations: Albany, OR

National Provider Directory

National Provider Directory

Locations

609 Hickory St NW
Ste 160
Albany, OR 97321
Phone (541) 967-3097

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1851601561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27652 FERN RIDGE RD",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973869529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 HICKORY ST NW",
            "address_2": "STE. 160",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211763",
            "telephone_number": "541-967-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VIEW FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BATEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-652-7312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3304ATI",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3346ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.