RIVERSIDE PHYSICIAN SERVICES INC


Address: 120 Kings Way, Suite 1300, Williamsburg, VA 23185-2505
Phone: 7573451001

RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1083630545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083630545
Entity Type Organization
Organization Name RIVERSIDE PHYSICIAN SERVICES INC
Other Organization Name HAMPTON ROADS EYE ASSOCIATES-WILLIAMSBURG
Practice Address 120 Kings Way
Suite 1300
Williamsburg
VA 23185-2505
Practice Telephone 7573451001
Practice Fax Number 7573453102
Mailing Telephone 7573453001
Mailing Fax Number 7573453102
Enumeration Date 2006-07-15
Last Update Date 2014-10-14
Authorized Official Name JAMES LESNICK (VICE PRESIDENT)
Authorized Official Telephone 7575944006
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name RIVERSIDE HEALTHCARE ASSOCIATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1083630545 05

Other Provider/Organization Names

Other Name Type Code
Hampton Roads Eye Associates-Williamsburg Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295139087 Riverside Physician Services Inc Physical Medicine & Rehabilitation 109 Philip Roth St Ste 490, Newport News, VA 23606-1393 2014-10-22
1588914378 Riverside Physician Services Inc Orthopaedic Surgery 11224 Lankford Hwy, Temperanceville, VA 23422 2012-09-19
1003118860 Riverside Physician Services Inc Internal Medicine 4917 Richmond Tappahannock Hwy, Suite 1-b, Aylett, VA 23009-3416 2010-11-30
1114170446 Riverside Physician Services Inc Psychiatry & Neurology 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 2008-10-30
1114170552 Riverside Physician Services Inc Otolaryngology 7552 Hospital Dr Ste 302, Gloucester, VA 23061-4178 2008-10-29
1851314934 Riverside Physician Services Inc Urology 668 Hospital Road, Bldg B Suite 300, Tappahannock, VA 22560 2006-07-26
1245252253 Riverside Physician Services Inc Obstetrics & Gynecology 648 Hospital Road, Suite B-305, Tappahannock, VA 22560 2006-07-25
1104847854 Riverside Physician Services Inc Surgery 7547 Medical Drive, Suite 1500, Gloucester, VA 23061 2006-07-21
1609897347 Riverside Physician Services Inc Orthopaedic Surgery 7554 Hospital Drive, Suite 202a, Gloucester, VA 23061 2006-07-21
1699796359 Riverside Physician Services Inc Internal Medicine 7560 Hospital Drive, Suite 101, Gloucester, VA 23061 2006-07-21

Office Location

Street Address 120 KINGS WAY
SUITE 1300
City WILLIAMSBURG
State VA
Zip Code 23185-2505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831196872 Williamsburg Neurology, P.C. Specialist 120 Kings Way, Suite 2700, Williamsburg, VA 23185-2505 2005-07-06
1952707002 Riverside Hospital, Inc General Acute Care Hospital 120 Kings Way, Suite 3100a, Williamsburg, VA 23185-2505 2014-11-17
1033452040 Morlinda M Kruegel Nurse Practitioner 120 Kings Way, Suite 3500, Williamsburg, VA 23185-2505 2013-03-28
1609148568 Riverside Physician Services Inc Psychiatry & Neurology 120 Kings Way, Suite 2800, Williamsburg, VA 23185-2505 2012-02-07
1316234081 Karanvir S. Virk Obstetrics & Gynecology 120 Kings Way, Suite 3400, Williamsburg, VA 23185-2505 2011-07-01
1467755132 Riverside Physician Services Inc Psychiatry & Neurology 120 Kings Way, Suite 2800, Williamsburg, VA 23185-2505 2010-12-17
1659692960 Anthony W. Farah Ophthalmology 120 Kings Way, Suite 1300, Williamsburg, VA 23185-2505 2010-06-21
1114255908 Joann Blair Mello Nurse Practitioner 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2505 2009-12-07
1700016805 Riverside Physician Services, Inc Orthopaedic Surgery 120 Kings Way, Ste 3500, Williamsburg, VA 23185-2505 2009-07-23
1588890545 Krystal E Ainsley Internal Medicine 120 Kings Way, Suite 1400, Williamsburg, VA 23185-2505 2009-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215579412 Marian Shearin Technician 112 Indian Circle, Williamsburg, VA 23185 2019-10-09
1093363251 1st Choice In-homecare, Inc. Durable Medical Equipment & Medical Supplies 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 2019-08-30
1265939482 Michelle Antionette Hill Counselor 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 2018-04-13
1114437480 Kimberly Anne Allan Orthotic Fitter 1811 Jamestown Rd., Williamsburg, VA 23185 2017-10-02
1881115590 Shawn Patrick Mcnulty Counselor Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 2017-07-03
1790215986 Sea Change Therapy Pllc Community/Behavioral Health 3308 Ash Vw, Williamsburg, VA 23185 2017-06-19
1316479322 Maureen Bounds Pharmacist 230 Gooch Dr, Williamsburg, VA 23185 2017-03-29
1386196970 Joshua Desilva Psychologist 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 2016-10-29
1750837001 Ellen Lerose Pharmacist 5601-b Richmond Road, Williamsburg, VA 23185 2016-08-28
1194173922 Michael C. Shuck, Dds PC Dentist 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 2016-06-02
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013212307 Washington Eye Care Center LLP Optometrist 519 Court Street, Williamsburg, IA 52361-9477 2011-01-18
1548576226 National Optometry Steven Kasinof and 17 Associates Optometrists Optometrist 4655 Monticello Ave, Ste. 201, Williamsburg, VA 23188-8219 2010-08-19
1144459736 Ryan Lee Striegel Optometrist 519 Court St, Williamsburg, IA 52361 2009-07-06
1861656589 Jeanne I Ruff Od LLC Optometrist 5223 Monticello Ave, Suite C, Williamsburg, VA 23188-8236 2008-07-11
1740441450 Forrest Ronald Schaeffer Optometrist 4640 Monticello Ave, Ste 8-a, Williamsburg, VA 23188-8215 2008-06-24
1386769891 Byron Douglas Karr Optometrist 686 S Us 25w, Suite 1, Williamsburg, KY 40769 2007-03-21
1538236880 Carter L Murphy Optometrist 5251 John Tyler Hwy Ste 7, Williamsburg, VA 23185-8808 2006-11-30
1467527770 20-20 Eyecare of Virginia Inc Optometrist 4640 Monticello Ave Ste 8a, Williamsburg, VA 23188-8230 2006-11-21
1215012679 Pamela Dawn Lundberg Optometrist 101 Bulifants Blvd, Suite A, Williamsburg, VA 23188-5709 2006-10-26
1306950027 Jeanne Ruff Optometrist 4655 Monticello Ave Ste 201c, Williamsburg, VA 23188-8221 2006-08-19
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Competitor

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City WILLIAMSBURG
Zip Code 23185

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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