David A Riddlespurger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2065T Issued in TX

Practice address

4150 Southwest Dr
Suite 101
Abilene, TX 79606-8222

Phone

(325) 692-8396

Fax

(325) 698-3305

NPI assigned

Sep 26, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Russell Liles, O.D., PLLC

  • Optometrist
  • Abilene, TX
  • NPI 1457859142
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215038583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HARRISBURG RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024349",
            "telephone_number": "325-690-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 SOUTHWEST DR",
            "address_2": "SUITE 101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068222",
            "telephone_number": "325-692-8396",
            "fax_number": "325-698-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLESPURGER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2065T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "752335081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Richardson, FNP-C
• H. Miller Richert II, M.D.
• Timothy A. Richey, CRNA
• Robert William Ricketts, LPC, BCBA
• Marka Ann Riddle, RD LD
• Jodee Rideout
• Kelsey Jean Riewe, M.ED, BCBA, LBA
• Alyssa Ashley Riley, PA-C
• Collin Chase Riley, PT
• Emily Riley

• Optometrist in Abilene, TX
• Providers in Abilene, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.