Organization Active NPI

Dr Chelsea Ryzuk

  • Optometrist
  • Charleston, SC
National Provider Identifier
1134590359
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00662500 Issued in NJ
Legal business name
DR CHELSEA RYZUK
Practice address
579 Folly Road
Suite 14083
Charleston, SC 29412
Phone
(843) 481-5459
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Chelsea Ryzuk, OD
Title
Manager
Phone
(843) 481-5459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00662500 NJ Primary

Addresses

Primary practice location

579 Folly Road
Suite 14083
Charleston, SC 29412

Mailing address

PO Box 63559
Philadelphia, PA 19147-7359

National Provider Directory

National Provider Directory

Locations

206 Kings Hwy E
Haddonfield, NJ 08033
Phone (267) 380-0126

579 Folly Rd
Ste 14083
Charleston, SC 29412
Phone (843) 481-5459

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1134590359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63559",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191477359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FOLLY ROAD",
            "address_2": "SUITE 14083",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-481-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHELSEA RYZUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "RYZUK",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-481-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00662500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.