Brennan Michelle Ridings, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2016015962 Issued in MO

Practice address

8509 State Line Rd
Target Optical
Kansas City, MO 64114-2723

Phone

(816) 410-2982

Fax

(816) 333-3667

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyeconic Eyecare LLCGroup PAC ID 8224162144, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyeconic Eyecare LLC

  • Optometrist
  • Independence, MO
  • NPI 1124347513
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1285081828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 STATE LINE RD",
            "address_2": "TARGET OPTICAL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142723",
            "telephone_number": "816-410-2982",
            "fax_number": "816-333-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 STATE LINE RD",
            "address_2": "TARGET OPTICAL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142723",
            "telephone_number": "816-410-2982",
            "fax_number": "816-333-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDINGS",
        "first_name": "BRENNAN",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2016015962",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie L Ricketts, M.P.T.
• Shawn Clayton Ricks, LPTA
• Gabrielle Rico
• Laurie D Riddell, MD
• Janell S Ridenour, PHYSICIAN ASSISTANT
• Jonathan Rieck, LCSW
• Emily L Riegel, MD
• Kaitlin N Rieger, RD
• Martha Louise Rieger, R.D.
• Lindsey Rieke, APRN

• Optometrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.

Verify at the official NPI Registry.