Ryan Wirkus, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2545 Issued in NC

Practice address

1007 Skyway Dr
Monroe, NC 28110-3050

Phone

(704) 289-1547

Fax

(704) 291-9441

NPI assigned

Jun 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Wichnoski, O.D. , P.aGroup PAC ID 1052490257, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• David Wichnoski, O.D. , P.a.

  • Optometrist
  • Charlotte, NC
  • NPI 1114045085
  Medicare reassignment Care Compare group NPD
• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Rock Hill, SC
  • NPI 1205248481
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Indian Trail, NC
  • NPI 1902395783
  NPD
• Eyecarecenter, O.D., P.a.

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Indian Land, SC
  • NPI 1093679961
  NPD
• David Wichnoksi OD PA

  • Optometrist
  • Charlotte, NC
  • NPI 1013253418
  NPD (past)
• David Wichnoski OD PA

  • Optometrist
  • Mooresville, NC
  • NPI 1548681406
  NPD (past)
• Myeyedr Optometry of North Carolina

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1265927040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207261",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SKYWAY DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103050",
            "telephone_number": "704-289-1547",
            "fax_number": "704-291-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7808 S Tryon St Ste D",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282734299",
            "country_code": "US",
            "telephone_number": "704-522-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 Pineville Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282263906",
            "country_code": "US",
            "telephone_number": "704-542-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 W Highway 74 Ste 116",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793476",
            "country_code": "US",
            "telephone_number": "704-234-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRKUS",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2076",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Wilson
• Naquivia Wilson, LCSWA
• Peter Kevin Wilson, HIS
• Margaret Elizabeth Triplett Winchester, ACNPC-AG
• Gerhardt Julius Winkel III, MD
• Paul Wise, MS, LAT, ATC
• Karen Marie Wiskow, RPH
• With a Touch of Love Home Care
• With a Touch of Love Home Healthcare
• Afua Woods

• Optometrist in Monroe, NC
• Providers in Monroe, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.

Verify at the official NPI Registry.