Individual provider Active NPI

Ryan Michael Alpino, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1114441110
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2033-IOD1 Issued in WV
Practice address
4917 1/2 Dixie Hwy
Suite H
Louisville, KY 40216
Phone
(502) 447-1799
Fax
(502) 447-3083
NPI assigned
Aug 1, 2017
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2033-IOD1 WV Primary

Addresses

Primary practice location

4917 1/2 Dixie Hwy
Suite H
Louisville, KY 40216

Mailing address

505 Birdie CT
Maidsville, WV 26541-8189
Phone (412) 580-7466

Other practice location 1

4036 1/2 Dutchmans Lane
Louisville, KY 40207
Phone (502) 894-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20180103002546 WV Practitioner - Optometry 6305104977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Optical PLLCGroup PAC ID 2668415589, 6 clinicians

Practice addresses (Care Compare)

1257 Pineview Dr
Morgantown, WV 26505-2738
Phone (304) 599-7034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Optical PLLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Ryan M Alpino PLLC Optometrist Current Accepting new patients
Eyecare Specialties of West Virginia PLLC Optometrist Past Accepting new patients

Locations

4917 Dixie Hwy
Ste H
Louisville, KY 40216
Phone (502) 447-2020

45 Professional Pl
Ste 200
Bridgeport, WV 26330

1257 Pineview Dr
Morgantown, WV 26505
Phone (304) 599-7034

Organizations & group practices 3

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1114441110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BIRDIE CT",
            "city": "MAIDSVILLE",
            "state": "WV",
            "postal_code": "265418189",
            "telephone_number": "412-580-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 1/2 DIXIE HWY",
            "address_2": "SUITE H",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40216",
            "telephone_number": "502-447-1799",
            "fax_number": "502-447-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4036 1/2 Dutchmans Lane",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40207",
            "country_code": "US",
            "telephone_number": "502-894-0322",
            "fax_number": "502-736-9762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALPINO",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2033-IOD1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.