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Deactivated NPI 1295731735 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Wendell Ridley , MD

Ophthalmology • Tullahoma, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Ridley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2005
NPI Deactivation Date March 10, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ridley, MD was a registered Ophthalmology practicing in Tullahoma, TN. Throughout an active medical career spanning 12 years, Dr. Ridley provided care at the practice location at 926 N JACKSON ST until profile deactivation on 2017-03-10.

Practice Location & Contact Primary Location

Practice Address

926 N Jackson St

Tullahoma, TN 373882332

Telephone 9313936004
Fax 9313934156
Associated Practice Facility / Clinic
🏢 Eye M D Ophthalmology Pllc Facility NPI 1407984396

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Tullahoma, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Tullahoma, TN (395 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TN MD9867

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1427212216

Doctor of Optometry

Dr. Ben Mahan , MD

Ophthalmology

NPI 1881690311

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated March 10, 2017

Record deactivated on March 10, 2017

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NPI Profile Deactivated March 09, 2017

Record deactivated on March 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 926 N JACKSON ST, TULLAHOMA, TN 373882332 (Tel: 9313936004)

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Updated Business Mailing Address July 08, 2007

Registered at 926 N JACKSON ST, TULLAHOMA, TN 373882332 (Tel: 9313936004)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT RIDLEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #MD9867 in TN)

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Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295731735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2005
Last Update: July 08, 2007
Deactivation Date: March 10, 2017

Mailing Address

926 N Jackson St

Tullahoma, TN 373882332

Phone: 9313936004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.