Individual provider Active NPI

Jennifer J. S. Risting, OD

  • Optometrist
  • Flint, MI
National Provider Identifier
1083276844
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-354-TA-D29 Issued in AL
Practice address
4499 Town Center Pkwy
Flint, MI 48532-3425
Phone
(810) 733-7111
NPI assigned
Jul 2, 2019
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005641 FL
Optometrist 152W00000X 4901005461 MI
Optometrist 152W00000X R-354-TA-D29 AL Primary

Addresses

Primary practice location

4499 Town Center Pkwy
Flint, MI 48532-3425

Mailing address

4499 Town Center Pkwy
Flint, MI 48532-3425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190822001454 FL Practitioner - Optometry 5991033441 Reassigns benefits to 1 organization
I20201215001704 MI Practitioner - Optometry 5991033441 Reassigns benefits to 1 organization
I20240806003791 AL Practitioner - Optometry 5991033441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama Ophthalmology Services FoundationGroup PAC ID 9234023417, 23 clinicians

Practice addresses (Care Compare)

700 18TH St S
Birmingham, AL 35233-1853
Phone (205) 325-9620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-354-TA-D29ALMDOptometrist
OPC005641FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Alabama Ophthalmology Services Foundation CurrentSince May 5, 2025 Accepting new patients
Mei Operations, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Visionfirst Eye Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Uab Callahan Eye Hospital Authority Past Accepting new patients

Locations

300 1st St N
Alabaster, AL 35007
Phone (205) 663-2177

1940 Elmer J Bissell Rd
Ste B
Birmingham, AL 35243
Phone (205) 638-4938

700 18th St S
Birmingham, AL 35233
Phone (205) 325-8519

700 18th St S
Ste 410
Birmingham, AL 35233
Phone (205) 325-8596

700 18th St S
Ste 601
Birmingham, AL 35233
Phone (205) 325-8507

700 18th St S
Ste 711
Birmingham, AL 35233
Phone (205) 933-6888

960 Rocket Way
Ste 120
Gardendale, AL 35071
Phone (205) 325-8596

501 Emery Dr W
Ste 1101A
Hoover, AL 35244

150 Gilbreath Dr
Ste 103
Oneonta, AL 35121
Phone (205) 274-4200

3143 Pelham Pkwy
Ste 200
Pelham, AL 35124
Phone (205) 358-0227

3143 Pelham Pkwy
Ste 2000
Pelham, AL 35124

1960 Gadsden Hwy
Ste 120
Trussville, AL 35235
Phone (205) 655-1114

3240 Edwards Lake Pkwy
Ste 100
Trussville, AL 35235
Phone (205) 949-2020

1030 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 752-1584

2801 Old 280 Ct
Vestavia, AL 35243

1009 Montgomery Hwy
Ste 201
Vestavia Hills, AL 35216
Phone (205) 824-2100

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

900 NW 17th St
Fl 2
Miami, FL 33136
Phone (305) 326-6170

4499 Town Center Pkwy
Flint, MI 48532
Phone (810) 733-7111

Interoperability endpoints

  • Direct secure messaging: jennifer.ristling.p1@direct.uabmc.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1083276844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 TOWN CENTER PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 TOWN CENTER PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "810-733-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTING",
        "first_name": "JENNIFER",
        "middle_name": "J. S.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005641",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005461",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-354-TA-D29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.