Individual provider Active NPI

Ryan P Fritsch, O.D.

  • Optometrist
  • Mount Juliet, TN
National Provider Identifier
1184824658
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2729 Issued in TN
Practice address
667 S Mt. Juliet Rd
Mt. Juliet, TN 37122-6319
Phone
(615) 758-2344
Fax
(615) 758-8868
NPI assigned
Jul 23, 2007
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2729 TN Primary

Addresses

Primary practice location

667 S Mt. Juliet Rd
Mt. Juliet, TN 37122-6319

Mailing address

667 S Mt. Juliet Rd
Mt. Juliet, TN 37122-6319
Phone (615) 758-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20071002000868 TN Practitioner - Optometry 8022103274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Eye Care, PLLCGroup PAC ID 9133312242, 3 clinicians

Practice addresses (Care Compare)

667 S Mount Juliet Rd
Mount Juliet, TN 37122-6483
Phone (615) 758-2344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2729TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Care, PLLC CurrentSince Feb 10, 2010 Accepting new patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Jul 16, 2007 Accepting new patients
Precision Eye Care, PLLC Optometrist CurrentSince Feb 10, 2010 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Jul 16, 2007 Accepting new patients

Locations

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

667 S Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 758-2344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1184824658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 S MT. JULIET RD",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "615-758-2344",
            "fax_number": "615-758-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 S MT. JULIET RD",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "615-758-2344",
            "fax_number": "615-758-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCH",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.