RIVERSIDE EYE AND LASER SPECIALISTS, P.A.
NPI 1154805760
Specialist in Jacksonville, FL

Q: What is Riverside Eye And Laser Specialists, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 19, 2018

1034 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 354-2114(904) 354-2122 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Riverside Eye And Laser Specialists, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE EYE AND LASER SPECIALISTS, P.A. (NPI 1154805760) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since September 2018. The organization lists Brittany R. Agee, Owner, as its authorized official.

NPPES Registry Identity

NPI1154805760

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameRIVERSIDE EYE AND LASER SPECIALISTS, P.A.

Location Address1034 RIVERSIDE AVEJacksonville, FL 32204-4123

Mailing Address1034 Riverside AveJacksonville, FL 32204-4123 · (904) 354-2114 · Fax (904) 354-2122

Phone(904) 354-2114

Fax(904) 354-2122

Organization SubpartNo

Authorized OfficialBrittany R. AgeeOwner · (904) 355-1525

Enumeration DateSeptember 19, 2018

✔ NPI 1154805760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1034 RIVERSIDE AVE, Jacksonville, FL 32204

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Other Identifiers 1

Other151LLFL · Blue Cross And Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Eye And Laser Specialists, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverside Eye And Laser Specialists, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Brittany Agee, M.D.

Ophthalmology

NPI 1760771851

1034 RIVERSIDE AVE
Jacksonville, FL 32204

(904) 354-2114

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Eye And Laser Specialists, P.A.'s NPI number?

The NPI number for Riverside Eye And Laser Specialists, P.A. is 1154805760. It was assigned to this organization in the NPPES registry on September 19, 2018.

Where is Riverside Eye And Laser Specialists, P.A. located?

Riverside Eye And Laser Specialists, P.A. is located at 1034 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 354-2114.

What is Riverside Eye And Laser Specialists, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Riverside Eye And Laser Specialists, P.A. enrolled in Medicare?

Yes. Riverside Eye And Laser Specialists, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Eye And Laser Specialists, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Riverside Eye And Laser Specialists, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Riverside Eye And Laser Specialists, P.A. was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.