Alan Ray Rising Sr., OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

3213TG Issued in TX

Practice address

6420B Eastex Fwy
Beaumont, TX 77708-4321

Phone

(409) 899-5340

Fax

(409) 899-3530

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1114040342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420B EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777084321",
            "telephone_number": "409-899-5340",
            "fax_number": "409-899-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420B EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777084321",
            "telephone_number": "409-899-5340",
            "fax_number": "409-899-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISING",
        "first_name": "ALAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "3213TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121605303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00E04K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Nicole Riley, FNP
• Jessica Ringo, ATC
• Kathryn Jean Rippley, PTA
• Rise -Resource,Information,Support and Empowerment
• Rising Chiropractic Clinic
• Bodre M Rising, DC
• Kelly W Rising, MD
• Risinger & Valls Orthodontic Specialists, PLLC
• Ronald Keith Risinger, DDS, MS
• Christopher Patrick Rivard, OTR

• Vision Therapy Optometrist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.