Organization Active NPI

Riverside Physician Services Inc

Doing business as Hampton Roads Eye Associates

  • Optometrist
  • Newport News, VA
National Provider Identifier
1962425884
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Doing business as
Hampton Roads Eye Associates
Practice address
4032 Campbell Rd
Suite B
Newport News, VA 23602-4252
Phone
(757) 877-3956
Fax
(757) 856-7121
NPI assigned
Jul 25, 2006
Organization subpart
Yes
Parent organization
RIVERSIDE PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
James Lesnick
Title
Vice President
Phone
(757) 594-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4032 Campbell Rd
Suite B
Newport News, VA 23602-4252

Mailing address

4032 Campbell Rd
Suite B
Newport News, VA 23602-4518
Phone (757) 877-3956

Other names 1

  • Hampton Roads Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040207000400 VA Part B Supplier - Clinic/Group Practice 5092608448 Receives reassigned benefits from 1,191 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
RPS-Anesthesia Servicesgrp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4032 Campbell Rd
Ste B
Newport News, VA 23602
Phone (757) 877-3956

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1962425884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 CAMPBELL RD",
            "address_2": "SUITE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024518",
            "telephone_number": "757-877-3956",
            "fax_number": "757-856-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 CAMPBELL RD",
            "address_2": "SUITE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024252",
            "telephone_number": "757-877-3956",
            "fax_number": "757-856-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "LESNICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.