Individual provider Active NPI

Ryan C Price, O.D.

  • Optometrist
  • Piedmont, AL
National Provider Identifier
1205264405
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B72-TA-762 Issued in AL
Practice address
801 Memorial Dr
Piedmont, AL 36272-6632
Phone
(256) 477-6413
Fax
(256) 477-6443
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B72-TA-762 AL Primary

Addresses

Primary practice location

801 Memorial Dr
Piedmont, AL 36272-6632

Mailing address

801 Memorial Dr
Piedmont, AL 36272-6632
Phone (256) 477-6413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20140516000999 AL Practitioner - Optometry 2567685738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 18TH St S
Suite Db110
Birmingham, AL 35233-1856
Phone (205) 325-8519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-B72-TA-762ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Terry L Bonds,OD,PC Optometrist PastSince Mar 10, 2014 Accepting new patients

Organizations & group practices 2

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1205264405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEMORIAL DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362726632",
            "telephone_number": "256-477-6413",
            "fax_number": "256-477-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEMORIAL DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362726632",
            "telephone_number": "256-477-6413",
            "fax_number": "256-477-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "RYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B72-TA-762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, AL

Sources for this page

Verify at the official NPI Registry.