Organization Active NPI

Risser Eye Clinic, LLC

  • Ophthalmology Physician
  • Payson, AZ
National Provider Identifier
1629862529
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RISSER EYE CLINIC, LLC
Practice address
302 W Main St
Payson, AZ 85541-5386
Phone
(928) 474-4126
Fax
(928) 474-4534
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Christian Frederick Risser V, MDNPI 1457482630
Title
Owner
Phone
(602) 402-8624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

302 W Main St
Payson, AZ 85541-5386

Mailing address

302 W Main St
Payson, AZ 85541-5386
Phone (928) 474-4126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725003475 AZ Part B Supplier - Clinic/Group Practice 9931616828 Receives reassigned benefits from 1 practitioner
Practice locations: Payson, AZ

National Provider Directory

National Provider Directory

Locations

4410 W Union Hills Dr
Ste 7240
Glendale, AZ 85308

302 W Main St
Payson, AZ 85541
Phone (928) 474-4126

302 W Main St
Ste 206
Payson, AZ 85541

308 W Main St
Ste 206
Payson, AZ 85541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1629862529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415386",
            "telephone_number": "928-474-4126",
            "fax_number": "928-474-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415386",
            "telephone_number": "928-474-4126",
            "fax_number": "928-474-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISSER EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-402-8624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.