RIVERSIDE OPTICAL INC (NPI# 1225108830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225108830 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE OPTICAL INC |
| Practice Address |
535 Jack Warner Pkwy Ne Ste B2 Tuscaloosa AL 35404-5715 |
| Practice Telephone | 2055540107 |
| Practice Fax Number | 2055540198 |
| Mailing Telephone | 2055540107 |
| Mailing Fax Number | 2055540198 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | DR. ERNES VAN JOHNSON (PHYSICIAN OWNER) |
| Authorized Official Telephone | 2055564440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
535 JACK WARNER PKWY NE STE B2 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026090 | Eyeglasses Services On Wheels | Eyewear Supplier (Equipment, not the service) | 101 Old Hackberry Ln, 1209, Tuscaloosa, AL 35401-7460 | 2016-08-02 |
| 1942533583 | Eyemart Express, Ltd. | Eyewear Supplier (Equipment, not the service) | 1800 Mcfarland Blvd E Ste 406, Suite 406, Tuscaloosa, AL 35404-5877 | 2009-09-15 |
| 1316092646 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1701 Mcfarland Blvd E Ste 100, Tuscaloosa, AL 35404-5827 | 2007-01-25 |
| 1790871820 | Pairs West Alabama Eyecare | Eyewear Supplier (Equipment, not the service) | 2615 Mcfarland Blvd E, Tuscaloosa, AL 35405-1803 | 2006-10-05 |
| 1609984673 | Tuscaloosa Optical Dispensary, Inc. | Eyewear Supplier (Equipment, not the service) | 5121 University Blvd E, Tuscaloosa, AL 35404-5207 | 2006-08-29 |
| 1316953557 | Usv Optical | Eyewear Supplier (Equipment, not the service) | 1701 Mcfarland Blvd, Tuscaloosa, AL 35405 | 2006-07-31 |
| 1356749352 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1800 Mcfarland Blvd E, Ste 406, Tuscaloosa, AL 35404-5874 | 2014-12-08 |
| 1730388935 | Schaeffer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 1701 Mcfarland Blvd E, Suite 121, Tuscaloosa, AL 35404-5824 | 2007-07-17 |
| 1841325933 | Eye Care Associates, Inc | Eyewear Supplier (Equipment, not the service) | 911 Hargrove Rd E, Tuscaloosa, AL 35405-1602 | 2007-02-22 |
| 1013069525 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1901 13th Ave E, Tuscaloosa, AL 35404-4785 | 2007-01-17 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
Please comment or provide details below to improve the information on RIVERSIDE OPTICAL INC.
| 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.