Individual provider Active NPI

Ashley Halbert Risner, OD

  • Low Vision Rehabilitation Optometrist
  • Bryan, TX
National Provider Identifier
1457406662
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
06101TG Issued in TX
Practice address
2806 E 29TH St
Bryan, TX 77802-2601
Phone
(979) 776-8330
NPI assigned
Jan 25, 2007
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 06101TG TX Primary

Addresses

Primary practice location

2806 E 29TH St
Bryan, TX 77802-2601

Mailing address

4078 Crooked Creek Path
College Station, TX 77845-2069
Phone (979) 587-4848

Other practice location 1

3208 N University Dr
Nacogdoches, TX 75965-2633
Phone (936) 564-7661

Other identifiers 2

IdentifierTypeStateIssuer
148211902MedicaidTX
80714QOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110504000838 TX Practitioner - Optometry 1456536507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06101TGTXMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center P a CurrentSince Oct 8, 2018 Accepting new patients
Mark Lanier OD PC Past Accepting new patients

Locations

2806 E 29th St
Bryan, TX 77802
Phone (979) 774-0498

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1457406662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4078 CROOKED CREEK PATH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452069",
            "telephone_number": "979-587-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3208 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759652633",
            "country_code": "US",
            "telephone_number": "936-564-7661",
            "fax_number": "936-564-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISNER",
        "first_name": "ASHLEY",
        "middle_name": "HALBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "06101TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148211902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80714Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.