Active NPI
Ric R Rios, OD
- Optometrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 536
- Practice address
- 12450 N 32ND St
Phoenix, AZ 85032-7160 - Phone
- (602) 494-0054
- Fax
- (602) 788-8431
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 536 | AZ | Primary |
Addresses
Primary practice location
12450 N 32ND St
Phoenix, AZ 85032-7160
Mailing address
12450 N 32ND St
Phoenix, AZ 85032-7160
Phone (602) 494-0054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4835450001 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15600 N Black Canyon Hwy
Suite C102
Phoenix, AZ 85053-4055
Phone (602) 661-7006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 536 | AZ | MD | Home Health Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenician Eye Specialists | Current | Accepting new patients | |
| Personal Eyes LLC | Optometrist | Current | Accepting new patients |
| Eyes on Hayden, PLLC | Optometrist | Past | Accepting new patients |
Locations
12450 N 32nd St
Ste 1
Phoenix, AZ 85032
Phone (602) 494-0054
15600 N Black Canyon Hwy
Ste C102
Phoenix, AZ 85053
Phone (602) 661-7006
12450 N 32nd St
Phoenix, AZ 85032
Phone (602) 494-0054
15600 N Black Canyon Hwy
#C102
Phoenix, AZ 85053
Phone (623) 232-2762
15033 W Bell Rd
Ste 150
Surprise, AZ 85374
Phone (623) 232-2762
Organizations & group practices 3
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.
-
- Optometrist
- Phoenix, AZ
- NPI 1417613043
-
- Cornea and External Diseases Specialist Physician
- Phoenix, AZ
- NPI 1093324956
-
- Optometrist
- Scottsdale, AZ
- NPI 1306406236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1194805481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12450 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327160",
"telephone_number": "602-494-0054",
"fax_number": "602-788-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12450 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327160",
"telephone_number": "602-494-0054",
"fax_number": "602-788-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "RIC",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4835450001",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.