Ripon W La Roche III, MD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002794 Issued in VA

Practice address

1511 W 3Rd St
Farmville, VA 23901-2649

Phone

(434) 392-9555

Fax

(434) 392-1524

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southside Eye Center PCGroup PAC ID 7315075231, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southside Eye Center PC

  • Ophthalmology Physician
  • Farmville, VA
  • NPI 1841352481
  Medicare reassignment Care Compare group NPD
• Southside Optical Center LLC

  • Ophthalmology Physician
  • Farmville, VA
  • NPI 1386650729
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1952962359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010506",
            "telephone_number": "434-392-9555",
            "fax_number": "434-392-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012649",
            "telephone_number": "434-392-9555",
            "fax_number": "434-392-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROCHE",
        "first_name": "RIPON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kirk
• Anoop Singh Kochar, M.D.
• Chie Koizumi
• John Andrew Kona, M.D.,
• Venkata Lakshmi Prasanna Kotapati
• Ripon Wilson La Roche II, MD
• St. Clair Reeves La Roche, O.D.
• Anna Labosier, M.S. CCC-SLP
• Kristin Michelle Lakatos, CRNA
• Cindy Saile Landrum, P.C.

• Optometrist in Farmville, VA
• Providers in Farmville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.