Individual provider Active NPI

Ryan Christopher Barnes, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1366649162
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009949 Issued in IL
Practice address
6601 N Avondale Ave Ste 102
Chicago, IL 60631-1567
Phone
(773) 792-1011
Fax
(773) 889-0224
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009949 IL Primary

Addresses

Primary practice location

6601 N Avondale Ave Ste 102
Chicago, IL 60631-1567

Mailing address

1324 Cherry Dr
Batavia, IL 60510-9301
Phone (773) 792-1011

Other identifiers 3

IdentifierTypeStateIssuer
046009949MedicaidIL
P00404130OtherILRAILROAD MEDICARE
1622243OtherILBCBS OF IL

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
I20070801000742 IL Practitioner - Optometry 5294826475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Eye Associates SCGroup PAC ID 6406757285, 2 clinicians

Practice addresses (Care Compare)

2030 E Algonquin Rd
Suite 404
Schaumburg, IL 60173-4159
Phone (773) 792-1011

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
35
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Eye Associates SC Optometrist CurrentSince Jul 9, 2007 Accepting new patients

Locations

6601 N Avondale Ave
Ste 102
Chicago, IL 60631
Phone (773) 792-1011

3115 N Harlem Ave
Ste 201
Chicago, IL 60634
Phone (773) 792-1011

2030 E Algonquin Rd
Ste 404
Schaumburg, IL 60173
Phone (773) 792-1011

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1366649162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 CHERRY DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605109301",
            "telephone_number": "773-792-1011",
            "fax_number": "773-787-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311567",
            "telephone_number": "773-792-1011",
            "fax_number": "773-889-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009949",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00404130",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1622243",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.