John T Rietz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-831 Issued in ID

Practice address

1616 19TH Ave
Lewiston, ID 83501-4005

Phone

(208) 746-3626

Fax

(208) 746-1636

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1821024050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 19TH AVE",
            "address_2": "PO BOX 1104",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014005",
            "telephone_number": "208-746-3626",
            "fax_number": "208-746-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 19TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014005",
            "telephone_number": "208-746-3626",
            "fax_number": "208-746-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETZ",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012219",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004322700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Ricard, BCBA
• Lacey Richardson
• Christopher V Ricketts, PA
• Rachael Riendeau, LMT
• Sherry Lynn Riener, CPM
• Jason Riggle, LMT
• Anita Ringering, NP
• Zachary S Ripley, D.O.
• Jason Scott Ritter
• River Horse Medical Clinic

• Optometrist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.