Ryan Owen McKinnis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5960 Issued in OH

Practice address

9981 Vail Dr Unit A2
Twinsburg, OH 44087-4901

Phone

(330) 583-4441

Fax

(330) 583-4471

NPI assigned

Jul 17, 2010

Sex

Male

Sole proprietor

No

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 OH

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

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark F Kapusta OD IncGroup PAC ID 4284753484, 2 clinicians

Infinity Eye Care LLCGroup PAC ID 9739592015, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryan.mckinnis@uprisedirect.com

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.

• Infinity Eye Care LLC

  • Optometrist
  • Twinsburg, OH
  • NPI 1245842137
  Medicare reassignment Care Compare group NPD Authorized official
• Mark F. Kapusta O.D. Inc

  • Optometrist
  • Willoughby, OH
  • NPI 1114192044
  Medicare reassignment Care Compare group NPD
• Northern Ohio Eye Consultants Inc

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  Medicare reassignment NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716
  NPD

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1134432230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440879118",
            "telephone_number": "330-583-4441",
            "fax_number": "330-583-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 VAIL DR UNIT A2",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874901",
            "telephone_number": "330-583-4441",
            "fax_number": "330-583-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Edgerton Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Brecksville",
            "state": "OH",
            "postal_code": "441414206",
            "country_code": "US",
            "telephone_number": "440-785-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNIS",
        "first_name": "RYAN",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase McCoy
• Shannon McDaniel, L.M.T.
• Alfredia McGuire
• Elizabeth Meathe McHugh, LSW
• Akia Kornath McKinley
• John Kenneth McLaughlin, PHARM-D
• Michelle Dessa McMillan, MD
• Meagan McNicholas, DO
• Abigail McQuillen, COTA/L
• Sarah Kathryne Meikle, MA, CCC-SLP

• Optometrist in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.