Riverside Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4074 Issued in MA

Legal business name

RIVERSIDE EYE CARE PC

Practice address

255 County St
Somerset, MA 02726-4240

Phone

(508) 676-8167

Fax

(508) 676-1434

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Kardel

Title

Office Manager

Phone

(508) 676-8167

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Lee Edward Guertin III, O.D.

  • Optometrist
  • Somerset, MA
  • NPI 1326042995
  Medicare reassignment NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1992281091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 COUNTY ST",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264204",
            "telephone_number": "508-676-8167",
            "fax_number": "508-676-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 COUNTY ST",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264240",
            "telephone_number": "508-676-8167",
            "fax_number": "508-676-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "KARDEL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-676-8167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024738A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Rapoza
• Rosemary Reis
• Heather E Revill
• Revolution at Somerset Point LLC
• Riversedge Management PC
• RJ Audiology LTD
• Philip Michael Robitaille, DDS
• Caroline Grace Romano
• Rooted Waves Wellness
• Pauline V Roy, PHARMACIST

• Optometrist in Somerset, MA
• Providers in Somerset, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.