DR. TIFFANY REBECCA RISNER (O.D.) – Optometrist, NPI 1255742532

DR. TIFFANY REBECCA RISNER (O.D.) is a healthcare provider. based in Boise, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT003303 (GA). The NPI Number for DR. TIFFANY REBECCA RISNER (O.D.) is 1255742532

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY REBECCA RISNER (O.D.)
NPI
1255742532
Phone
Not provided
Address
610 S AMERICANA BLVD
Enumeration Date
8 May 2014
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
9037233250
Graduation Year
2020 (6 years ago)
PAC ID
7315165412
Group Practice PAC ID
6608856158
Professional Enrollment ID
I20231023001338
Address ID
TX758012352PA501XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

268 OPTOMETRY in ID

Provider Addresses for DR. TIFFANY REBECCA RISNER (O.D.)

  • 610 S AMERICANA BLVD

    BOISE, ID 837026731

    Phone:

    Type: Mailing

  • 928 S Bolton St

    Jacksonville, TX 757662906

    Phone: (903) 586-7900

    Fax: (903) 586-4373

    Type: Location

  • 800 N Beaton St

    Corsicana, TX 751103149

    Phone: (903) 874-0005

    Fax: (903) 874-0009

    Type: Location

  • 764 W Commerce St

    Fairfield, TX 758401428

    Phone: (903) 389-9646

    Fax: (903) 389-3690

    Type: Location

  • 501 E Kolstad St

    Palestine, TX 758012352

    Phone: (903) 731-4653

    Fax: (903) 731-4653

    Type: Location

  • 501 E KOLSTAD ST

    PALESTINE, TX 758012352

    Phone: (903) 731-4653

    Fax: (903) 723-5550

    Type: Mailing

  • 208 W KNOX ST

    ENNIS, TX 751194026

    Phone: (469) 456-0059

    Fax: (469) 456-0020

    Type: Location

  • 591 E MAIN ST

    CANTON, GA 301142801

    Phone: (770) 479-4481

    Fax: (770) 479-8932

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($131).

Total Amount

$235

General + Research + Ownership

Payments

6

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2025-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231023001338IOptometryTXTBD
I20251231000324IOptometryOKTBD

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 system4040$0
92004New patient complete exam of visual system1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 83702)

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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: 6608856158View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
-TX
O P T O M E T R YTX
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. TIFFANY REBECCA RISNER (O.D.)?
Save NPI 1255742532 if you need a stable reference for DR. TIFFANY REBECCA RISNER (O.D.).
Is DR. TIFFANY REBECCA RISNER (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. TIFFANY REBECCA RISNER (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. TIFFANY REBECCA RISNER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. TIFFANY REBECCA RISNER (O.D.)?
We surface Boise, Idaho for DR. TIFFANY REBECCA RISNER (O.D.) based on available NPPES addresses.
What if Boise, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.