TYLER JAMES RIDDER (OD) – Optometrist, NPI 1275269813

TYLER JAMES RIDDER (OD) is a healthcare provider. based in Pensacola, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6157 (FL). The NPI Number for TYLER JAMES RIDDER (OD) is 1275269813

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TYLER JAMES RIDDER (OD)
NPI
1275269813
Phone
(850) 477-1499
Address
460 E NINE MILE RD
Enumeration Date
26 July 2022
Last Update Date
26 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506824014
Graduation Year
2022 (4 years ago)
PAC ID
5991188740
Group Practice PAC ID
3375584295
Professional Enrollment ID
I20220811003197
Address ID
FL325368463CR2491XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for TYLER JAMES RIDDER (OD)

  • 460 E NINE MILE RD

    PENSACOLA, FL 325141441

    Phone: (850) 477-1499

    Fax: (850) 479-3359

    Type: Mailing

  • 2491 S FERDON BLVD

    CRESTVIEW, FL 325368463

    Phone: (850) 682-4014

    Fax: (850) 682-0387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $909.

Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($396).

Total Amount

$909

General + Research + Ownership

Payments

23

Total payment records

General Amount

$909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220811003197IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system133133$0
99213Established patient office or other outpatient visit, 20-29 minutes11583$0
92004New patient complete exam of visual system8181$0
92134Imaging of retina6156$0
92083Exam of visual field with extended testing5353$0
View full utilization report →

Insurance plans in this area (ZIP 32514)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375584295View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YNC
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the registry number for TYLER JAMES RIDDER (OD)?
The registry entry for TYLER JAMES RIDDER (OD) shows NPI 1275269813.
Should I treat TYLER JAMES RIDDER (OD) as an active provider?
Patients and plans typically see TYLER JAMES RIDDER (OD) as active in the national extract.
What type of care does TYLER JAMES RIDDER (OD) provide?
TYLER JAMES RIDDER (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit TYLER JAMES RIDDER (OD) in Pensacola, Florida?
For routing, start with Pensacola, Florida for TYLER JAMES RIDDER (OD), then verify phone and hours locally.
Why is information missing for TYLER JAMES RIDDER (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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