Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES
Other names
Hampton Roads Eye Associates-Oyster Point
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
11800 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4206
(757) 643-8800
(757) 643-8919
Mailing address
11800 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4206
(757) 643-8800
(757) 643-8919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245253152
—
VA
Enumeration date
07/25/2006
Last updated
10/15/2014
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