Individual provider Active NPI

Ryan Thomas Reedy, O.D.

  • Optometrist
  • Emmetsburg, IA
National Provider Identifier
1144570292
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002542 Issued in IA
Practice address
2217 Main St
Emmetsburg, IA 50536-2446
Phone
(712) 852-2979
Fax
(712) 852-2024
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002542 IA Primary

Addresses

Primary practice location

2217 Main St
Emmetsburg, IA 50536-2446

Mailing address

PO Box 329
Emmetsburg, IA 50536-2446
Phone (712) 852-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20121206000509 IA Practitioner - Optometry 4981856432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2217 Main St
Emmetsburg, IA 50536-2446
Phone (712) 852-2979

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emmetsburg Eye Clinic Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Wolfe Clinic Inc PastSince Feb 23, 2021 Accepting new patients
Donald J Kingfield Past Accepting new patients

Locations

220 N Dodge St
Algona, IA 50511
Phone (515) 295-3743

2217 Main St
Emmetsburg, IA 50536
Phone (712) 852-2979

1409 13th St N
Humboldt, IA 50548
Phone (515) 332-2020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1144570292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362446",
            "telephone_number": "712-852-2979",
            "fax_number": "712-852-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 MAIN ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362446",
            "telephone_number": "712-852-2979",
            "fax_number": "712-852-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

Verify at the official NPI Registry.