RIVER CITY VISION CENTER PA
NPI 1649504804
Optometrist in Jacksonville, FL
About River City Vision Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER CITY VISION CENTER PA (NPI 1649504804) is a healthcare organization registered as an optometrist in Jacksonville, Florida and active in the NPI registry since September 2009. The organization lists Chandra M Williams, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
River City Vision Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to River City Vision Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 River City Vision Center PA's NPI number?
The NPI number for River City Vision Center PA is 1649504804. It was assigned to this organization in the NPPES registry on September 21, 2009.
Where is River City Vision Center PA located?
River City Vision Center PA is located at 13453 N Main St Ste 203, Jacksonville, FL 32218. The listed phone number is (904) 696-2027.
What is River City Vision Center PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is River City Vision Center PA enrolled in Medicare?
Yes. River City Vision Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through River City Vision Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to River City Vision Center PA. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does River City Vision Center PA accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 10 other insurers list River City Vision Center PA 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 River City Vision Center PA was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# River City Vision Center Pa · NPI 1649504804
Optometrist organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since September 21, 2009.
## Identity
- **NPI:** 1649504804 (Entity type: Organization)
- **Enumerated:** September 21, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Chandra Williams, PRESIDENT
## Practice location
- **Address:** 13453 N MAIN ST STE 203, Jacksonville, FL 32218-2773
- **Phone:** (904) 696-2027 · **Fax:** (904) 696-2028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649504804) · Data from the CMS NPPES public registry.