Individual provider Active NPI

Ryan Centar

  • Optometrist
  • Duncansville, PA
National Provider Identifier
1396101440
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003043 Issued in PA
Practice address
108 Olde Farm Office Rd
Duncansville, PA 16635-9417
Phone
(814) 695-3141
NPI assigned
Jan 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003043 PA Primary

Addresses

Primary practice location

108 Olde Farm Office Rd
Duncansville, PA 16635-9417

Mailing address

108 Olde Farm Office Rd
Duncansville, PA 16635-9417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241217001694 OH Practitioner - Optometry 1355647231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

1689 N Bechtle Ave
Springfield, OH 45504-1568
Phone (937) 323-1233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003043PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Nov 4, 2024 Accepting new patients
Ryan D Imler OD PC Optometrist CurrentSince Feb 16, 2016 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Nov 24, 2021 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Nov 4, 2024 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

1689 N Bechtle Ave
Springfield, OH 45504
Phone (937) 323-1233

1024 N Plum St
Springfield, OH 45504
Phone (937) 342-1988

888 E Court St
Urbana, OH 43078
Phone (937) 652-1144

108 Olde Farm Office Rd
Duncansville, PA 16635
Phone (814) 695-3141

124 S Pennsylvania Ave
Greensburg, PA 15601
Phone (724) 302-3700

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

5418 Walnut St
Pittsburgh, PA 15232
Phone (412) 687-5323

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 6

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1396101440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OLDE FARM OFFICE RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166359417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLDE FARM OFFICE RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166359417",
            "telephone_number": "814-695-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTAR",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

Verify at the official NPI Registry.