Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler James Ridder, OD

Individual provider Optometrist · NPI 1275269813

Tyler James Ridder, OD is an Optometry in Crestview, Florida. Qualified in 2022, 4 years ago. Practices with Douglas Reynolds OD PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2491 S Ferdon Blvd
Crestview, FL 32536-8463
Phone: (850) 682-4014
Fax: (850) 682-0387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6157 (FL)

Record details

NPI number1275269813
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address460 E Nine Mile Rd, Pensacola, FL 32514-1441

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Douglas Reynolds Od Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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