Individual provider Active NPI

Tim R Ridder, OD

  • Optometrist
  • Hutchinson, KS
National Provider Identifier
1790752574
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13853 Issued in KS
Practice address
2701 N Main St
Hutchinson, KS 67502-3479
Phone
(620) 663-8700
Fax
(620) 663-8713
NPI assigned
Mar 1, 2006
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13853 KS Primary

Addresses

Primary practice location

2701 N Main St
Hutchinson, KS 67502-3479

Mailing address

1851 N Webb Rd
Attn FLR2
Wichita, KS 67206-3413
Phone (316) 636-2010

Other identifiers 2

IdentifierTypeStateIssuer
P00292520OtherKSRAILROAD MEDICARE
100219360BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20060131000297 KS Practitioner - Optometry 0547274458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Kuhl OD LLCGroup PAC ID 7113321498, 35 clinicians

Practice addresses (Care Compare)

1708 E 23Rd Ave
Hutchinson, KS 67502-1114
Phone (620) 663-7187

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2010

2701 N Main St
Hutchinson, KS 67502-3479
Phone (620) 663-8700

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
81.25
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1385KSMDPsychologist
13853KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Steven a. Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Jan 1, 2006 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Jan 1, 2006 Accepting new patients
Grene Vision Group LLC Optometrist Past Accepting new patients

Locations

1001 N Main St
Hutchinson, KS 67501
Phone (316) 663-5417

1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187

2701 N Main St
Hutchinson, KS 67502
Phone (620) 663-8700

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

1851 N Webb Rd
Fl 2
Wichita, KS 67206

Interoperability endpoints

  • Direct secure messaging: tim.ridder.p1@direct.gvg.nextgenshare.com

Organizations & group practices 5

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1790752574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "address_2": "ATTN FLR2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-636-2010",
            "fax_number": "316-858-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N MAIN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675023479",
            "telephone_number": "620-663-8700",
            "fax_number": "620-663-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "TIM",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "13853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00292520",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219360B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.