Active NPI
Alan Ray Rising Sr., OD
- Vision Therapy Optometrist
- Beaumont, TX
National Provider Identifier
1114040342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 3213TG
- Practice address
- 6420B Eastex Fwy
Beaumont, TX 77708-4321 - Phone
- (409) 899-5340
- Fax
- (409) 899-3530
- NPI assigned
- Apr 10, 2007
- Last updated
- Jan 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 3213TG | TX | Primary |
Addresses
Primary practice location
6420B Eastex Fwy
Beaumont, TX 77708-4321
Mailing address
6420B Eastex Fwy
Beaumont, TX 77708-4321
Phone (409) 899-5340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3213TG | TX | MD | Vision Therapy Optometrist |
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Tamara Nicole Riley, FNP
- Jessica Ringo, ATC
- Kathryn Jean Rippley, PTA
- Rise -Resource,Information,Support and Empowerment
- Rising Chiropractic Clinic (Triangle Health Centers,P.A.)
- Bodre M Rising, DC
- Kelly W Rising, MD
- Risinger & Valls Orthodontic Specialists, PLLC
- Ronald Keith Risinger, DDS, MS
- Christopher Patrick Rivard, OTR
Sources for this page
- 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.