RIVERSIDE PARK SURGICENTER LLC
NPI 1881697522
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Active since May 25, 2005CLIA 10D0716285 · Waiver
2001 COLLEGE ST, JACKSONVILLE, FL 32204(904) 355-9800(904) 356-8680 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riverside Park Surgicenter Llc NPPES

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

RIVERSIDE PARK SURGICENTER LLC (NPI 1881697522) is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Collin Lemaistre, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1881697522
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVERSIDE PARK SURGICENTER LLC
Location Address2001 COLLEGE STJacksonville, FL 32204-3703
Mailing Address2001 College StJacksonville, FL 32204-3703 · (904) 355-9800 · Fax (904) 356-8680
Fax(904) 356-8680
Organization SubpartNo
Authorized OfficialCollin LemaistreOfficer/authorized Official · (904) 355-9800
Enumeration DateMay 25, 2005
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
NPI 1881697522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in FL · 80003681
2001 COLLEGE ST, Jacksonville, FL 32204

Other Identifiers 7

Medicaid079102400FL
Other101679FL · Avmed
Other17626FL · Cigna
Other10C0001167FL · Medicare Dmerc
Other490001993FL · Rr Medicare
Other62JFL · Bcbs
Other6800031FL · United

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 10D0716285

Riverside Park Surgicenter · Jacksonville, FL
Active · expires Aug 31, 2026
CLIA Number10D0716285
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJean P. Beede
Laboratory Phone(904) 355-9800
Laboratory LocationRiverside Park Surgicenter2001 College Street, Jacksonville, FL 32204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
924 services603 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
169 services90 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
75 services54 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
56 services31 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
47 services34 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
42 services30 patients

Other Providers at the Same Location NPPES 6

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

Anesthesiology
2001 COLLEGE ST
JACKSONVILLE, FL 32204
Ophthalmology
2001 COLLEGE ST
JACKSONVILLE, FL 32204
Ophthalmology
2001 COLLEGE ST
JACKSONVILLE, FL 32204
Clinic/Center (Medical Specialty)
2001 COLLEGE ST
JACKSONVILLE, FL 32204
Eyewear Supplier
2001 COLLEGE ST
JACKSONVILLE, FL 32204
Optometrist
2001 COLLEGE ST
JACKSONVILLE, FL 32204

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 Park Surgicenter LLC's NPI number?

The NPI number for Riverside Park Surgicenter LLC is 1881697522. It was assigned to this organization in the NPPES registry on May 25, 2005.

Where is Riverside Park Surgicenter LLC located?

Riverside Park Surgicenter LLC is located at 2001 College St, Jacksonville, FL 32204. The listed phone number is (904) 355-9800.

What is Riverside Park Surgicenter LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Riverside Park Surgicenter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0716285) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Riverside Park Surgicenter LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Riverside Park Surgicenter LLC 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 Park Surgicenter LLC was last updated on October 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.