Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES
Other names
Hampton Roads Eye Associates-Hidenwood
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
12420 WARWICK BLVD, SUITE 1D, NEWPORT NEWS, VA 23606-3001
(757) 599-0700
(757) 594-5207
Mailing address
12420 WARWICK BLVD, SUITE 1D, NEWPORT NEWS, VA 23606-3001
(757) 599-0700
(757) 594-5207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083630651
—
VA
Enumeration date
07/15/2006
Last updated
10/14/2014
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