Brandon Ridder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1396 Issued in NE

Practice address

101 W Decatur St
West Point, NE 68788-1407

Phone

(402) 372-3266

Fax

(402) 372-5736

NPI assigned

Jun 27, 2013

Last updated

Dec 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, TX2 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

University of Missouri St Louis - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Eyecare PCGroup PAC ID 2567695786, 2 clinicians

Omaha Tribe of NebraskaGroup PAC ID 7315467560, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.98 of 100Reported as group

Quality

83.96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.ridder@direct.revolutionehr.com

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.

• Northeast Eyecare PC

  • Optometrist
  • West Point, NE
  • NPI 1649697491
  Medicare reassignment Care Compare group NPD Authorized official
• Omaha Tribe of Nebraska

  dba Carl T Curtis Health Ed Center Dental

  • Dental Clinic/Center
  • Macy, NE
  • NPI 1871977918

  TX

  Medicare reassignment Care Compare group NPD
• Northeast Eye Care, PC

  • Optometrist
  • Pender, NE
  • NPI 1932576857
  NPD Authorized official
• Northeast Eye Care, PC

  • Optometrist
  • Oakland, NE
  • NPI 1568839488
  NPD (past) Authorized official

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1851731459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W DECATUR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881407",
            "telephone_number": "402-372-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DECATUR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881407",
            "telephone_number": "402-372-3266",
            "fax_number": "402-372-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "BRANDON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002602",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465019378",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NE",
            "identifier": "465019378",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Pueppke
• Michelle Lynne Ratliff, OTRL
• Tessa Recker, M.S., CCC-SLP
• Megan Redinger
• Sherry Rae Reimers
• Joshua D Ridder, PA-C
• Adrianna Roth
• Linda L Schmuecker
• Kelsey Schroder
• Joy Ellen Schroedter

• Optometrist in West Point, NE
• Providers in West Point, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.