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RIVERSIDE EYE CENTER PC
NPI 1174748081
Ophthalmology in East China, MI

Active since April 16, 2007CLIA Certified · 2 labs
4050 RIVER RD, EAST CHINA, MI 48054(810) 329-9045(810) 329-8732 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Eye Center Pc NPPES

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

RIVERSIDE EYE CENTER PC (NPI 1174748081) is a healthcare organization registered as an ophthalmology in East China, Michigan and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Kevin Hanton, Manager, as its authorized official.

NPPES Registry Identity

NPI1174748081
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRIVERSIDE EYE CENTER PC
Location Address4050 RIVER RDEast China, MI 48054-2908
Mailing Address4050 River RdEast China, MI 48054-2908 · (810) 329-9045 · Fax (810) 329-8732
Phone(810) 329-9045
Fax(810) 329-8732
Organization SubpartNo
Authorized OfficialKevin HantonManager · (810) 385-7200
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1174748081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1146090001 (MI)
4050 RIVER RD, East China, MI 48054
Open in Google Maps ↗

Secondary Practice Locations 2

Location 117900 23 Mile Rd Ste 100Macomb, MI 48044-1161 · Phone (586) 416-1544 · Fax (586) 416-1545
Location 24656 24th AveFort Gratiot, MI 48059-3402 · Phone (810) 385-3600 · Fax (810) 385-0603

Other Identifiers 2

Other180G410170MI · Bcbs Pin
Other0741045MI · Bcbs Individual Pin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2039582

Riverside Eye Center · Fort Gratiot, MI
Active · expires Apr 11, 2028
CLIA Number23D2039582
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorEdward M. Balok
Laboratory Phone(810) 385-3600
Laboratory LocationRiverside Eye Center4656 24th Ave, Fort Gratiot, MI 48059
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2028407

Riverside Eye Center PC · East China, MI
Active · expires Mar 5, 2028
CLIA Number23D2028407
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorEdward M. Balok
Laboratory Phone(810) 329-9045
Laboratory LocationRiverside Eye Center PC4050 River Road, East China, MI 48054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASSOCIATED RETINAL CONSULTANTS, PC
Ophthalmology
4050 RIVER RD
EAST CHINA, MI 48054
St. Clair County (248) 288-2280
DR. RANDALL PETER KAMLAY OD
Optometrist
4050 RIVER RD
EAST CHINA, MI 48054
St. Clair County (810) 329-9045
ST. CLAIR INFECTIOUS DISEASES PC
Internal Medicine (Infectious Disease)
4050 RIVER RD, STE 2
EAST CHINA, MI 48054
St. Clair County (810) 329-2268
DR. EDWARD MICHAEL BALOK M.D.
Ophthalmology
4050 RIVER RD
EAST CHINA, MI 48054
St. Clair County (810) 329-9045

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 Center PC's NPI number?

The NPI number for Riverside Eye Center PC is 1174748081. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Riverside Eye Center PC located?

Riverside Eye Center PC is located at 4050 River Rd, East China, MI 48054. The listed phone number is (810) 329-9045.

What is Riverside Eye Center PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Riverside Eye Center PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Riverside Eye Center PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of Tennessee list Riverside Eye Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Eye Center PC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.