Individual provider Active NPI

Coby Shane Ramsey, O.D.

  • Optometrist
  • Rock Springs, WY
National Provider Identifier
1336197045
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
234T Issued in WY
Practice address
1151 Gateway Blvd Ste 101
Rock Springs, WY 82901-6777
Phone
(307) 382-3753
Fax
(307) 382-7548
NPI assigned
May 5, 2006
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 234T WY Primary

Addresses

Primary practice location

1151 Gateway Blvd Ste 101
Rock Springs, WY 82901-6777

Mailing address

1151 Gateway Blvd Ste 101
Rock Springs, WY 82901-6777
Phone (307) 382-3753

Other identifiers 1

IdentifierTypeStateIssuer
122011000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20060213000749 WY Practitioner - Optometry 2365457397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramsey Eye Care Center PCGroup PAC ID 2466467493, 2 clinicians

Practice addresses (Care Compare)

1151 Gateway Blvd
Suite 101
Rock Springs, WY 82901-6771
Phone (307) 382-3753

1151 Gateway Blvd
Suite 101
Rock Springs, WY 82901-6777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
234TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey Eye Care Center, P.C. Optometrist CurrentSince Nov 4, 1996 Accepting new patients

Locations

1151 Gateway Blvd
Ste 101
Rock Springs, WY 82901
Phone (307) 382-3753

2624 Commercial Way
Ste B
Rock Springs, WY 82901
Phone (307) 382-3753

Interoperability endpoints

  • Direct secure messaging: cramsey@direct.revolutionehr.com

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, 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1336197045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 GATEWAY BLVD STE 101",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016777",
            "telephone_number": "307-382-3753",
            "fax_number": "307-382-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 GATEWAY BLVD STE 101",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016777",
            "telephone_number": "307-382-3753",
            "fax_number": "307-382-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "COBY",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "234T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122011000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.