Riverside Physician Services INC

NPI #1083630545 in Williamsburg, Virginia

Provider Information

NPI Number: 1083630545
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE HEALTHCARE ASSOCIATES
Primary Specialty: Optometrist
Enumeration Date: Jul 15, 2006
Last Updated: Oct 14, 2014

Practice Location

Address: 120 KINGS WAY
Address 2: SUITE 1300
City: Williamsburg
State: Virginia
ZIP Code: 23185-2505
Phone: (757) 345-1001

Authorized Official

Name: JAMES LESNICK, MD
Title: VICE PRESIDENT
Phone: (757) 594-4006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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