Individual provider Active NPI

Ryan Jeffrey Witt, O.D.

  • Optometrist
  • Savoy, IL
National Provider Identifier
1326450933
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010773 Issued in IL
Practice address
8 Dunlap CT
Savoy, IL 61874-9501
Phone
(217) 398-2020
NPI assigned
May 30, 2014
Last updated
May 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010773 IL Primary

Addresses

Primary practice location

8 Dunlap CT
Savoy, IL 61874-9501

Mailing address

1104 N Vermilion St
Danville, IL 61832-3094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140626001792 IL Practitioner - Optometry 1951526342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chittick Family Eye Care LTDGroup PAC ID 8628059995, 16 clinicians

Practice addresses (Care Compare)

8 Dunlap CT
Savoy, IL 61874-9501
Phone (217) 398-2020

Merit-based Incentive Payment System (MIPS)

Final score
64.15 of 100Reported as group
Quality
77.89
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chittick Family Eye Care LTD Optometrist CurrentSince Jun 6, 2014 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2435 Village Green Pl
Champaign, IL 61822
Phone (217) 398-1700

1104 N Vermilion St
Danville, IL 61832
Phone (217) 398-2020

851 E Orange St
Hoopeston, IL 60942
Phone (217) 283-7611

327 N Kickapoo St
Lincoln, IL 62656
Phone (217) 735-2020

122 W Court St
Paris, IL 61944
Phone (217) 921-3140

209 E Grove Ave
Rantoul, IL 61866
Phone (217) 892-2727

8 Dunlap Ct
Savoy, IL 61874
Phone (217) 398-2020

10 W Adams Ave
Villa Grove, IL 61956
Phone (217) 832-2111

112 E Walnut St
Watseka, IL 60970
Phone (815) 432-2020

Interoperability endpoints

  • Direct secure messaging: ryan.witt@direct.revolutionehr.com

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": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1326450933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DUNLAP CT",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749501",
            "telephone_number": "217-398-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.