| Brandon Ridder, OD | |
|
101 W Decatur St, West Point, NE 68788-1407 | |
| (402) 372-3266 | |
| (402) 372-5736 |
| Full Name | Brandon Ridder |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 101 W Decatur St, West Point, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851731459 | NPI | - | NPPES |
| 465019378 | Other | NE | BLUE CROSS BLUE SHIELD OF NE |
| 465019378 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 002602 (Iowa) | Secondary |
| 152W00000X | Optometrist | 1396 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Eyecare Pc | 2567695786 | 2 |
| Omaha Tribe Of Nebraska | 7315467560 | 13 |
| Provider Name | Northeast Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649697491 PECOS PAC ID: 2567695786 Enrollment ID: O20140423001797 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Ridder, OD 101 W Decatur St, West Point, NE 68788-1407 Ph: (402) 372-3266 | Brandon Ridder, OD 101 W Decatur St, West Point, NE 68788-1407 Ph: (402) 372-3266 |
Dr. Dean L. Lauritzen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-372-3266 Fax: 402-372-5736 | |
Emily Joann Wietfeld, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-317-0995 Fax: 402-372-5736 | |
Northeast Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 101 W Decatur St, West Point, NE 68788 Phone: 402-372-3266 Fax: 402-372-5736 |