Active NPI
Jennifer J. S. Risting, OD
- Optometrist
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- R-354-TA-D29
- Practice address
- 4499 Town Center Pkwy
Flint, MI 48532-3425 - Phone
- (810) 733-7111
- NPI assigned
- Jul 2, 2019
- Last updated
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-354-TA-D29 | AL | MD | Optometrist |
| OPC005641 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Alabama Ophthalmology Services Foundation | Current | Accepting new patients | |
| Mei Operations, PLLC | Current | Accepting new patients | |
| Visionfirst Eye Center, Inc | Current | 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
- 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.
-
- Ophthalmology Physician
- Birmingham, AL
- NPI 1265485999
-
- Ophthalmology Physician
- Birmingham, AL
- NPI 1629118286
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba Callahan Eye Hospital
- Ophthalmology Physician
- Birmingham, AL
- NPI 1427398254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.