Riviera Opticare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RIVIERA OPTICARE INC.

Practice address

555 N Gilbert Rd
Suite 101
Mesa, AZ 85203-7551

Phone

(480) 827-9184

NPI assigned

Aug 21, 2007

Last updated

Aug 14, 2014By 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

Susan Reckell, O.D.NPI 1851464986

Title

President

Phone

(480) 827-9184

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Riviera Opticare Inc.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1629261854

  O20040401000291

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Riviera Opticare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Riviera Opticare Inc.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1629261854
  NPD tax ID

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Lynn Reckell, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1851464986
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsey Lynn Darby, OD

  • Optometrist
  • Scottsdale, AZ
  • NPI 1538681762
  Medicare reassignment Care Compare group NPD
• Amy Elizabeth Keding, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1003267030
  Medicare reassignment Care Compare group NPD
• Gillian Dale Stierman, OD

  • Optometrist
  • Glendale, AZ
  • NPI 1407631898
  Medicare reassignment Care Compare group NPD
• Brittany Warner, OD

  • Optometrist
  • Gilbert, AZ
  • NPI 1528609096
  Medicare reassignment Care Compare group NPD
• Julie McCutcheon, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1821544495
  Medicare reassignment NPD
• Kelsie Stevens, OD

  • Optometrist
  • Phoenix, AZ
  • NPI 1689283830
  Medicare reassignment NPD
• Judy Breshears, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1437221124
  NPD (past)
• Mindy Marie Hagstrom, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1669799664
  NPD (past)
• Jennifer Koster, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1043380066
  NPD (past)
• Jacqueline J Lucas, O.D.

  • Ophthalmology Physician
  • Chandler, AZ
  • NPI 1508838996

  Optometrist

  NPD (past)
• Sherah Vogen, OD

  • Optometrist
  • Fort Sill, OK
  • NPI 1548785652
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1972796100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N GILBERT RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037551",
            "telephone_number": "480-827-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N GILBERT RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037551",
            "telephone_number": "480-827-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVIERA OPTICARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "RECKELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-827-9184",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP ID",
            "identifier": "DB1051",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Jaquelyn Rivera
• Luis Manuel Rivera Jr., MS, LMT
• Penny R Rivera, MA
• Erika Rivero, LSMW-17483
• Riveroak Dental 1 LLC (Best Dental)
• Mahmoud Riyad
• Ahmad M Rkein, PHARM.D.
• RN Group Homes (Behavioral Homes 365)
• RN Group Homes, LLC (Behavioral Homes 365)
• Kevin Neil Roach, D.C.

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.