Tyler James Ridder, OD - Medicare Optometrist in Crestview, FL

Tyler James Ridder, OD is a medicare enrolled "Optometrist" provider in Crestview, Florida. He graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Douglas Reynolds Od Pa and his current practice location is 2491 S Ferdon Blvd, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 682-4014.

Tyler James Ridder is licensed to practice in Florida (license number OPC6157) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275269813.

Contact Information

Tyler James Ridder, OD
2491 S Ferdon Blvd,
Crestview, FL 32536-8463
(850) 682-4014
(850) 682-0387

Map and Direction




Healthcare Provider's Profile

Full NameTyler James Ridder
GenderMale
SpecialityOptometry
Experience2 Years
Location2491 S Ferdon Blvd, Crestview, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler James Ridder graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1275269813
  • Provider Enumeration Date: 07/26/2022
  • Last Update Date: 07/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991188740
  • Enrollment ID: I20220811003197

Medical Identifiers

Medical identifiers for Tyler James Ridder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275269813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPC6157 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Douglas Reynolds Od Pa33755842954

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler James Ridder allows following entities to bill medicare on his behalf.
Provider NameDouglas Reynolds Od Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1023164662
PECOS PAC ID: 3375584295
Enrollment ID: O20050520000084

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler James Ridder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler James Ridder, OD
460 E Nine Mile Rd,
Pensacola, FL 32514-1441

Ph: (850) 477-1499
Tyler James Ridder, OD
2491 S Ferdon Blvd,
Crestview, FL 32536-8463

Ph: (850) 682-4014

Reviews and Comments


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Chelsea Rayna Evans, O.D.
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Practice Location: 207 N Main St, Crestview, FL 32536
Phone: 850-683-0221    Fax: 850-683-0225

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.