Individual provider Active NPI

Ryan Patrick Dimit, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1215169933
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
996 Issued in NV
Practice address
5420 Kietzke LN Ste 103
Reno, NV 89511-2063
Phone
(775) 329-2300
Fax
(775) 329-5514
NPI assigned
Aug 13, 2009
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7474TG TX
Optometrist 152W00000X 996 NV Primary
Corneal and Contact Management Optometrist 152WC0802X 7474TG TX

Addresses

Primary practice location

5420 Kietzke LN Ste 103
Reno, NV 89511-2063

Mailing address

5420 Kietzke LN Ste 103
Reno, NV 89511-2063
Phone (775) 329-2300

Other identifiers 1

IdentifierTypeStateIssuer
1215169933MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20181012000462 NV Practitioner - Optometry 9133274822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chang and Engle MDS PCGroup PAC ID 5496838286, 5 clinicians

Practice addresses (Care Compare)

5420 Kietzke LN
Suite 103
Reno, NV 89511-2063
Phone (775) 329-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7474TGTXMDCorneal and Contact Management Optometrist
996NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chang & Engle MDS, PC CurrentSince Oct 8, 2018 Accepting new patients
Houston Optic PLLC PastSince Dec 12, 2021 Accepting new patients

Locations

5420 Kietzke Ln
Ste 103
Reno, NV 89511
Phone (775) 329-2300

Interoperability endpoints

  • Direct secure messaging: rdimit@nec.intellechartdirect.net

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, 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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1215169933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-329-2300",
            "fax_number": "775-329-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KIETZKE LN STE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112063",
            "telephone_number": "775-329-2300",
            "fax_number": "775-329-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMIT",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7474TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "996",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7474TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215169933",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.