RIVERSIDE EYE SPECIALISTS MEDICAL GROUP INC.
NPI 1508828963
Ophthalmology in Riverside, CA
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
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
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 Specialists Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Riverside Eye Specialists Medical Group Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 IncAccepts 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.
Medicare Product Categories
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.
Is Riverside Eye Specialists Medical Group Inc. enrolled in Medicare?
Yes. Riverside Eye Specialists Medical Group Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Eye Specialists Medical Group Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Riverside Eye Specialists Medical Group Inc.. 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. The largest specialties are Ophthalmology (3) and Optometry (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and 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.
# Riverside Eye Specialists Medical Group Inc. · NPI 1508828963
Ophthalmology organization in Riverside, California. Organization record, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1508828963 (Entity type: Organization)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Ray Glendrange, SECRETARY/OWNER
## Practice location
- **Address:** 4605 BROCKTON AVE, SUITE 100, Riverside, CA 92506-0106
- **Phone:** (951) 686-4911 · **Fax:** (951) 686-9409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (3), Optometry (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2013
- **Other identifiers:** Medicare ID-Type Unspecified ZZZ13622Z; Other CD8734 (CA); Medicaid GR0079980 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508828963) · Data from the CMS NPPES public registry.