Douglas J Ryen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5153 Issued in OH

Practice address

141 Clint Dr
Pickerington, OH 43147-7750

Phone

(614) 575-0111

Fax

(614) 577-9214

NPI assigned

Nov 22, 2006

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

Other identifiers 1

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

Ohio State University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newark Vision Care LLCGroup PAC ID 8022420884, 4 clinicians

Newark Optometry LLCGroup PAC ID 7416981584, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Newark Vision Care LLC

  • Optometrist
  • New Lexington, OH
  • NPI 1497357081
  Medicare reassignment Care Compare group NPD Authorized official
• Newark Optometry LLC

  • Optometrist
  • Newark, OH
  • NPI 1841312139
  Medicare reassignment Care Compare group NPD
• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  Medicare reassignment NPD
• Pickerington Eyecare

  • Optometrist
  • Pickerington, OH
  • NPI 1679763577
  Medicare reassignment NPD
• Trillium Vision Care of Zanesville LLC

  • Optometrist
  • Zanesville, OH
  • NPI 1023759263
  NPD
• Robert J. Dittoe, O.D., Inc.

  • Optometrist
  • New Lexington, OH
  • NPI 1710064894
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1174698245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CLINT DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477750",
            "telephone_number": "614-575-0111",
            "fax_number": "614-577-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CLINT DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477750",
            "telephone_number": "614-575-0111",
            "fax_number": "614-577-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYEN",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2213956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Rubin, M.S. CCC-SLP
• Tasha Rudd
• Yolanda Ruffin, LPN
• Brianna Shante Rutter
• Stephanie Ann Ryan
• Maia Saad, DDS
• Jessica Sachtjen
• Safe Harbor Community LLC
• Safekeepers,LLC
• Joseph Anthony Saffold III

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.