Rachel Rita Ryan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011955 Issued in IL

Practice address

3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231

Phone

(773) 890-1100

Fax

(773) 890-1580

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridgeport Eye Care, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1144711243
  Medicare reassignment NPD
• Southwest Optometric Associates P C

  • Optometrist
  • Chicago, IL
  • NPI 1699785675
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1376354852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W 105TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086231",
            "telephone_number": "773-890-1100",
            "fax_number": "773-890-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "RACHEL",
        "middle_name": "RITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Ryan, RDN
• Mollie Ryan, LCPC, BC-DMT
• Monica C Ryan, DNP, APN-BC
• Norman Ryan, M.D.
• Paige Ryan, PTA
• Sean Seosap Ryan, M.D.
• Sharon F. Ryan, CRNA
• Susan Ryan
• Susan Dawn Ryan, NP
• Virginia Torres Ryan, LCSW

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.