Individual provider Active NPI

Frank M Ryburn III, MD

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1295833614
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F9007 Issued in TX
Practice address
3420 23Rd St
Lubbock, TX 79410-1322
Phone
(806) 793-2474
Fax
(806) 791-5819
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F9007 TX Primary

Addresses

Primary practice location

3420 23Rd St
Lubbock, TX 79410-1322

Mailing address

3420 23Rd St
Lubbock, TX 79410
Phone (806) 793-2474

Other identifiers 1

IdentifierTypeStateIssuer
P000PK739MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9007TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of West Texas, LLP CurrentSince Feb 7, 2022 Accepting new patients

Locations

3420 23rd St
Lubbock, TX 79410
Phone (806) 793-2474

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1295833614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-793-2474",
            "fax_number": "806-791-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101322",
            "telephone_number": "806-793-2474",
            "fax_number": "806-791-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBURN",
        "first_name": "FRANK",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F9007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000PK739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.