Riverton Vision Center P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RIVERTON VISION CENTER P.C.

Practice address

300 N Broadway Ave
Riverton, WY 82501-3545

Phone

(307) 856-9451

Fax

(307) 856-8548

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brian J Ballard, O.D.

Title

Owner

Phone

(307) 856-9451

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Interoperability endpoints

• Direct secure messaging: dr.hinkle@rivertonvisioncenter.eyefinity-direct.com
• Direct secure messaging: drb@rivertonvisioncenter.eyefinity-direct.com
• Direct secure messaging: drf@rivertonvisioncenter.eyefinity-direct.com

Practitioners 3

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

• Devin J Davis, O.D.

  • Optometrist
  • Chadron, NE
  • NPI 1013042068

  WY

  Medicare reassignment Care Compare group NPD
• Christopher C Frazier, OD

  • Optometrist
  • Riverton, WY
  • NPI 1841302189
  Medicare reassignment Care Compare group
• James M Hinkle, O.D.

  • Optometrist
  • Riverton, WY
  • NPI 1083606792
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1962494690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013545",
            "telephone_number": "307-856-9451",
            "fax_number": "307-856-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N BROADWAY AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013545",
            "telephone_number": "307-856-9451",
            "fax_number": "307-856-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTON VISION CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-856-9451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100015200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverton Physician Practices LLC
• Riverton Physician Practices, LLC
• Riverton Physician Practices, LLC
• Riverton Senior Citizens Center
• Riverton Smiles
• Roberson Resources Inc
• Charles W Rodgers, PHD
• Kianna Rodriguez
• Julie Reba Rogers, CPS
• Tracy Dawn Romberg, CHILD FORENSIC INTER

• Optometrist in Riverton, WY
• Providers in Riverton, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.