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RIVERSIDE EYE SPECIALISTS MEDICAL GROUP INC.
NPI 1508828963
Ophthalmology in Riverside, CA

Active since April 03, 2006
4605 BROCKTON AVE, SUITE 100, RIVERSIDE, CA 92506(951) 686-4911(951) 686-9409 Get Directions Write a Review

NPPES record last updated: November 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Eye Specialists Medical Group Inc. NPPES

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

RIVERSIDE EYE SPECIALISTS MEDICAL GROUP INC. (NPI 1508828963) is a healthcare organization registered as an ophthalmology in Riverside, California and active in the NPI registry since April 2006. The organization lists Ray Rogers Glendrange, Secretary/owner, as its authorized official.

NPPES Registry Identity

NPI1508828963
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRIVERSIDE EYE SPECIALISTS MEDICAL GROUP INC.
Location Address4605 BROCKTON AVE, SUITE 100Riverside, CA 92506-0106
Mailing Address4605 Brockton Ave, Suite 100Riverside, CA 92506-0106 · (951) 686-4911 · Fax (951) 686-9409
Phone(951) 686-4911
Fax(951) 686-9409
Organization SubpartNo
Authorized OfficialRay Rogers GlendrangeSecretary/owner · (951) 686-4911
Enumeration DateApril 3, 2006
Last NPPES UpdateNovember 26, 2013
✔ NPI 1508828963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4605 BROCKTON AVE, Riverside, CA 92506
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Other Identifiers 4

Medicare ID-Type UnspecifiedZZZ13622Z
OtherCD8734CA · Palmetto, Gba
MedicaidGR0079980CA
Medicare NSC4192610001CA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Riverside Eye Specialists Medical G carries, from the Medicare DMEPOS supplier directory.

Riverside Eye Specialists Medical G

DMEPOS supplier · Riverside, CAOperated by Riverside Eye Specialists Medical Group Inc
✔

Accepts Medicare assignment

Riverside Eye Specialists Medical G agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20666009
Medicare Participant SinceJuly 12, 1997
Supplier Location4605 Brockton Ave Suite # 100Riverside, CA 92506
Phone(951) 686-4911
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

DR. RAY ROGERS GLENDRANGE M.D.
Ophthalmology
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 92506
Riverside County (951) 686-4911
RIVERSIDE PLASTIC SURGERY ASSOCIATES INC.
Specialist
4605 BROCKTON AVE, SUITE 200
RIVERSIDE, CA 92506
Riverside County (951) 781-4339
NICOLE-NINCHO PHU HA O.D.
Optometrist
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 92506
Riverside County (951) 686-4911
JOHN J ALLAVIE M.D.
Ophthalmology
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 92506
Riverside County (951) 686-4911
DR. BEN J. CHILDERS M.D.
Specialist
4605 BROCKTON AVE, SUITE 200
RIVERSIDE, CA 92506
Riverside County (951) 781-4366

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 Specialists Medical Group Inc.'s NPI number?

The NPI number for Riverside Eye Specialists Medical Group Inc. is 1508828963. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is Riverside Eye Specialists Medical Group Inc. located?

Riverside Eye Specialists Medical Group Inc. is located at 4605 Brockton Ave Suite 100, Riverside, CA 92506. The listed phone number is (951) 686-4911.

What is Riverside Eye Specialists Medical Group Inc.'s specialty?

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

Does Riverside Eye Specialists Medical Group Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Riverside Eye Specialists Medical G accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Riverside Eye Specialists Medical Group Inc. accept?

Health plans from BlueCross BlueShield of Tennessee list Riverside Eye Specialists Medical Group Inc. 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 Specialists Medical Group Inc. was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.