Individual provider Active NPI

Riley Liss

  • Optometrist
  • Arlington, TX
National Provider Identifier
1689308991
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10682T Issued in TX
Practice address
827 E Lamar Blvd
Arlington, TX 76011-3504
Phone
(817) 275-0655
NPI assigned
Jul 12, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10682T TX Primary

Addresses

Primary practice location

827 E Lamar Blvd
Arlington, TX 76011-3504

Mailing address

404 Ridgeview Dr
Independence, IA 50644-3147

Other practice location 1

5224 S State Highway 360 Ste 200
Grand Prairie, TX 75052-0958
Phone (972) 602-4545

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
I20221010003023 TX Practitioner - Optometry 6507242740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

4110 N Collins St
Arlington, TX 76005-4547
Phone (817) 442-2934

5224 S State Hwy 360
Suite 200
Grand Prairie, TX 75052-0958
Phone (972) 602-4545

827 E Lamar Blvd
Arlington, TX 76011-3504
Phone (817) 275-0655

8329 Whitley Rd
Watauga, TX 76148-2483
Phone (817) 431-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10682TTXMDOptometrist
10682TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

827 E Lamar Blvd
Arlington, TX 76011
Phone (817) 275-0655

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 4

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1689308991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RIDGEVIEW DR",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E LAMAR BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113504",
            "telephone_number": "817-275-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5224 S State Highway 360 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750520958",
            "country_code": "US",
            "telephone_number": "972-602-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISS",
        "first_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10682T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.