Individual provider Active NPI

Edwin H Ryan Jr., MD

  • Ophthalmology Physician
  • Minneapolis, MN
National Provider Identifier
1093703167
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26302 Issued in MN
Practice address
7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800
Phone
(952) 929-1131
Fax
(952) 897-1178
NPI assigned
Oct 12, 2005
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26302 MN Primary

Addresses

Primary practice location

7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800

Mailing address

7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800
Phone (952) 929-1131

Other identifiers 2

IdentifierTypeStateIssuer
31565000MedicaidWI
501793900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018001106 MN Practitioner - Ophthalmology 0840250346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Surgery PLLCGroup PAC ID 6709899768, 23 clinicians

Practice addresses (Care Compare)

3601 W 76TH St
Suite 300
Edina, MN 55435-3004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Feb 19, 1996 Accepting new patients

Locations

11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104

3601 W 76th St
Fl 3
Edina, MN 55435

99 Navaho Ave
Ste 100
Mankato, MN 56001
Phone (507) 385-1311

2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

7760 France Ave S
Ste 310
Minneapolis, MN 55435
Phone (952) 897-1175

4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353

6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002

7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1093703167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-929-1131",
            "fax_number": "952-897-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-929-1131",
            "fax_number": "952-897-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "EDWIN",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "26302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31565000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501793900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.