Provider Demographics
NPI:1780747816
Name:RIVERSIDE HEARING SERVICES, INC.
Entity type:Organization
Organization Name:RIVERSIDE HEARING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:VIVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-538-2422
Mailing Address - Street 1:974 BETHEL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2467
Mailing Address - Country:US
Mailing Address - Phone:614-538-2422
Mailing Address - Fax:614-538-2418
Practice Address - Street 1:974 BETHEL RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2467
Practice Address - Country:US
Practice Address - Phone:614-538-2422
Practice Address - Fax:614-538-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4500040OtherUNITED HEALTHCARE
OH4533430OtherAETNA
OH000000155062OtherANTHEM
OH0537285OtherCIGNA
OH=========002OtherMEDICAL MUTUAL
OH000000155062OtherANTHEM
OH=========OtherTAX ID