Individual provider Active NPI

Ryan Michael McNett, OD

  • Optometrist
  • Derby, KS
National Provider Identifier
1346379088
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1748 Issued in KS
Practice address
2020 N Nelson Dr
Suite a
Derby, KS 67037-2572
Phone
(316) 788-1180
Fax
(316) 788-7426
NPI assigned
Mar 5, 2007
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1748 KS Primary

Addresses

Primary practice location

2020 N Nelson Dr
Suite a
Derby, KS 67037-2572

Mailing address

2020 N Nelson Dr
Suite a
Derby, KS 67037-2572
Phone (316) 788-1180

Other identifiers 1

IdentifierTypeStateIssuer
200551760AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20070221000583 KS Practitioner - Optometry 4385746379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 N Nelson Dr
Suite a
Derby, KS 67037-2572
Phone (316) 788-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1748KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan M McNett OD LLC Optometrist CurrentSince Apr 2, 2007 Accepting new patients

Locations

2020 N Nelson Dr
Ste A
Derby, KS 67037
Phone (316) 788-1180

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1346379088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N NELSON DR",
            "address_2": "SUITE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372572",
            "telephone_number": "316-788-1180",
            "fax_number": "316-788-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N NELSON DR",
            "address_2": "SUITE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372572",
            "telephone_number": "316-788-1180",
            "fax_number": "316-788-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNETT",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200551760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

Verify at the official NPI Registry.