Ryan Lynn Von Holten, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009558 Issued in IL

Practice address

25824 W Eames St
Channahon, IL 60410-5313

Phone

(815) 521-9950

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.32 of 100Reported as individual

Quality

76.63

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Von Holten Eyecare, LTD.

  • Optometrist
  • Channahon, IL
  • NPI 1508889866
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1013976042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 S BLACKHAWK DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604109303",
            "telephone_number": "815-922-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25824 W EAMES ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105313",
            "telephone_number": "815-521-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON HOLTEN",
        "first_name": "RYAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truhlar Holdings, PLLC
• Marla Vasquez, MA LCSW
• Virtual Vibes Therapy Inc
• Von Holten Eyecare, LTD.
• Deeanna Von Holten, MPT
• Walgreen Co
• Walgreen Co.
• Victoria Walsh, MHS, CCC-SLP/L
• Robin L Watkins, PH.D.
• Deanna Carol Watson, LCSW

• Optometrist in Channahon, IL
• Providers in Channahon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.