Riley Vision P.C.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

RILEY VISION P.C.

Practice address

1867 Airport Way Ste 150a
Fairbanks, AK 99701-4061

Phone

(907) 452-2131

Fax

(907) 452-2618

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

W. Matthew Riley, OD

Title

OD Ceo

Phone

(907) 452-2131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• W. Matthew Riley Other name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 1

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

• William Matthew Riley, O.D.

  • Optometrist
  • Fairbanks, AK
  • NPI 1568478782
  Medicare reassignment NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922141506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 150A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014061",
            "telephone_number": "907-452-2131",
            "fax_number": "907-452-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY STE 150A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014061",
            "telephone_number": "907-452-2131",
            "fax_number": "907-452-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY VISION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "W. MATTHEW",
        "authorized_official_title_or_position": "OD  CEO",
        "authorized_official_telephone_number": "907-452-2131",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD6003",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W. Matthew Riley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lesley Anne Rider
• Ridgeview Chiropractic PC
• Brandon Lee Ried
• Jesse William Riehm, BSW, ETT
• Alyson Rigby, L.M.T.
• William Matthew Riley, O.D.
• Camilla Maree Slagle Ringler, RN
• Conner Alexander Ringstad
• Jaime Nicole Ringstad, ED.D., LPC, MAC
• Celina Nichole Risner, CDC I

• Exclusive Provider Organization in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Exclusive Provider Organization in Alaska

• 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.
• 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.