Ryann Katherine Roles, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2847 Issued in AR

Practice address

208 Morrow St S
Mena, AR 71953-2510

Phone

(479) 394-4215

Fax

(479) 394-3455

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ryann Katherine Barnes Other name

Medicare fee-for-service enrollment

Enrolled in AR

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Med Southwest, PLLC

  • Optometrist
  • Arkadelphia, AR
  • NPI 1497211783

  AR, Optometrist

  Medicare reassignment Care Compare group NPD
• Med Southwest PLLC

  • Optometrist
  • El Dorado, AR
  • NPI 1124588405
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Magnolia, AR
  • NPI 1093271397
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Sherwood, AR
  • NPI 1538766175
  Care Compare group
• Med Southwest PLLC

  • Optometrist
  • Idabel, OK
  • NPI 1336605633
  Care Compare group
• Med Southwest PLLC

  • Optometrist
  • Beaumont, TX
  • NPI 1558900373
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Tulsa, OK
  • NPI 1124798160
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Broken Bow, OK
  • NPI 1174089478
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Hurst, TX
  • NPI 1366066466
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Longview, TX
  • NPI 1487290441
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Care Compare group
• Med Southwest, PLLC

  • Optometrist
  • San Marcos, TX
  • NPI 1730714114
  Care Compare group

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1154071389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MORROW ST S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532510",
            "telephone_number": "479-394-4215",
            "fax_number": "479-394-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLES",
        "first_name": "RYANN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYANN",
            "last_name": "BARNES",
            "middle_name": "KATHERINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rich Mountain Womens Clinic
• Rich Mountian Family Medical Clinic
• Lance Garrett Richardson, DC
• Katie Roberts
• Carlos Barrett Rocha, M.D.
• Ruby Elizabeth Rosenthal, PT
• Stephanie Rostollan, FNP
• Jennifer Rowland, MS, OTRL
• Regina Rowland, CCC-SLP
• Hailee Elizabeth Rutherford

• All providers in Mena, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.