PINE RIVER GROUP LLC
NPI 1912847500
Optometrist in Collegeville, PA

Q: What is Pine River Group LLC's NPI number?

The NPI number for Pine River Group LLC is 1912847500. It was assigned to this organization in the NPPES registry on March 31, 2026.

Q: What is Pine River Group LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 31, 2026

500 BROAD ST STE 3, COLLEGEVILLE, PA 19426(610) 831-1100 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Pine River Group Llc NPPES

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

PINE RIVER GROUP LLC (NPI 1912847500) is a healthcare organization registered as an optometrist in Collegeville, Pennsylvania and active in the NPI registry since March 2026. The organization lists John Heidenreich, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1912847500

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePINE RIVER GROUP LLC

Location Address500 BROAD ST STE 3Collegeville, PA 19426-4924

Mailing Address9867 Florence PlHighlands Ranch, CO 80126-3561

Phone(610) 831-1100

Organization SubpartNo

Authorized OfficialJohn HeidenreichManaging Member · (720) 252-8355

Enumeration DateMarch 31, 2026

NPPES CertifiedMarch 31, 2026

✔ NPI 1912847500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedEyewear SupplierTaxonomy 332H00000X

500 BROAD ST STE 3, Collegeville, PA 19426

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Pine River Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine River Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Buraks, O.D.

Optometry

NPI 1033288022

1601 S COLUMBUS BLVD WALMART VISION CENTER
Philadelphia, PA 19148

(215) 389-5814

✔ PECOS✔ Accepts Medicare29 mi

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 Pine River Group LLC's NPI number?

The NPI number for Pine River Group LLC is 1912847500. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Pine River Group LLC located?

Pine River Group LLC is located at 500 Broad St Ste 3, Collegeville, PA 19426. The listed phone number is (610) 831-1100.

What is Pine River Group LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Pine River Group LLC enrolled in Medicare?

Yes. Pine River Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine River Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Pine River Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pine River Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 2 other insurers list Pine River Group 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 Pine River Group LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.