River Valley Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

2197 Issued in NC

Legal business name

RIVER VALLEY EYE ASSOCIATES

Practice address

953 S State St
Yadkinville, NC 27055-6765

Phone

(336) 677-6770

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 2016By 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

Danielle Elaine Jordan

Title

Optometrist

Phone

(336) 677-6770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1912350836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S STATE ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556765",
            "telephone_number": "336-677-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 S STATE ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556765",
            "telephone_number": "336-677-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "336-677-6770"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916137",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faiza Rais-Reynolds, MD
• Barbara J. Reece, RN
• Kathleen Marie Reichert, FNP
• Nicolas Dalton Rhodes, M.S., SLP
• Jeanie M Rhyne, PT
• Ashton Santolla
• Christopher Stewart Sapp, LCMHCA, LCAS, CSI
• Susan L Sawyers, LPC
• David William Schomberg Jr., MBA, RPH
• Kaitlyn Scott

• Optometrist in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.