Individual provider Active NPI

Xin Ruan, O.D.

  • Optometrist
  • Edmond, OK
National Provider Identifier
1225062367
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2469 Issued in OK
Practice address
3101 NW 164TH Ter
Edmond, OK 73013-9450
Phone
(405) 471-6220
Fax
(405) 471-6220
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2469 OK Primary

Addresses

Primary practice location

3101 NW 164TH Ter
Edmond, OK 73013-9450

Mailing address

15500 Laguna Dr
Edmond, OK 73013-8925
Phone (405) 471-6220

Other identifiers 1

IdentifierTypeStateIssuer
200064570AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20051031000773 OK Practitioner - Optometry 7517998396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7109 W Hefner Rd
Suite F
Oklahoma City, OK 73162-4534
Phone (405) 603-7000

Merit-based Incentive Payment System (MIPS)

Final score
97.9 of 100Reported as individual
Quality
100
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2469OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ruthie Xin Ruan, O.D., PLLC Optometrist CurrentSince Oct 10, 2005 Accepting new patients
Lyndon Graves, P.C. Optometrist Past Accepting new patients

Locations

7109 W Hefner Rd
Ste F
Oklahoma City, OK 73162
Phone (405) 603-7000

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1225062367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 LAGUNA DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138925",
            "telephone_number": "405-471-6220",
            "fax_number": "405-471-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NW 164TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139450",
            "telephone_number": "405-471-6220",
            "fax_number": "405-471-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUAN",
        "first_name": "XIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.