STEPHEN RIDDER (OD) – Optometrist, NPI 1003345059

STEPHEN RIDDER (OD) is a healthcare provider. based in Saratoga springs, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 10383724-9934 (UT). The NPI Number for STEPHEN RIDDER (OD) is 1003345059

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN RIDDER (OD)
NPI
1003345059
Phone
Not provided
Address
1083 N REDWOOD RD
Enumeration Date
5 June 2017
Last Update Date
30 July 2020

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2567881543
Group Practice PAC ID
1658790639
Professional Enrollment ID
I20200924000616
Address ID
UT840455179Sa1083XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for STEPHEN RIDDER (OD)

  • 1083, North Redwood Road, Saratoga Springs, Utah County, Utah, 84045, United States

    SARATOGA SPRINGS, UT 840455179

    Phone:

    Mailing address matches the actual address.

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 $294.

Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($225).

Total Amount

$294

General + Research + Ownership

Payments

6

Total payment records

General Amount

$294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2020-09-24

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
I20200924000616IOptometryUTTBD

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
92004New patient complete exam of visual system3838$0
92014Established patient complete exam of visual system1919$0
92250Photography of the retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 84045)

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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: 1658790639View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YME

Reviews

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Frequently asked questions

Where can patients find STEPHEN RIDDER (OD)'s NPI?
You can confirm STEPHEN RIDDER (OD) with NPI 1003345059; it appears in the national provider directory.
Is STEPHEN RIDDER (OD) active in the national directory?
STEPHEN RIDDER (OD)'s public NPI profile is in an active state.
What kind of provider is STEPHEN RIDDER (OD)?
The page reflects Optometrist for STEPHEN RIDDER (OD). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHEN RIDDER (OD)?
The snapshot lists Saratoga Springs, Utah for STEPHEN RIDDER (OD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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