Individual provider Active NPI

Devan Rybarczyk, OD

  • Optometrist
  • Hilliard, OH
National Provider Identifier
1295594216
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007279 Issued in OH
Practice address
4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone
(614) 876-4044
Fax
(614) 876-0255
NPI assigned
Mar 14, 2024
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007279 OH Primary

Addresses

Primary practice location

4555 Cemetery Rd
Hilliard, OH 43026-1102

Mailing address

4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone (614) 876-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240612002505 OH Practitioner - Optometry 9335681733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ackerson Eyecare Center, IncGroup PAC ID 8820086366, 4 clinicians

Practice addresses (Care Compare)

4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone (614) 876-4044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerson Eyecare Center, Inc Optometrist CurrentSince Mar 31, 2022 Accepting new patients
Optometric Management Group LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Industrial Fitness PastSince Mar 31, 2022 Accepting new patients
Michael S. Berk, O.D. Inc. Optometrist PastSince May 1, 2024 Accepting new patients

Locations

951 E Johnstown Rd
Gahanna, OH 43230
Phone (614) 476-2015

4555 Cemetery Rd
Hilliard, OH 43026
Phone (614) 219-7479

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

Organizations & group practices 4

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1295594216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-4044",
            "fax_number": "614-876-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-4044",
            "fax_number": "614-876-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBARCZYK",
        "first_name": "DEVAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.