Active NPI
Ryan Edward Beloungy, O.D.
- Optometrist
- Chippewa Falls, WI
National Provider Identifier
1396943049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3081-035
- Practice address
- 331 E Prairie View Rd
Chippewa Falls, WI 54729-3463 - Phone
- (715) 726-9077
- NPI assigned
- Jul 4, 2007
- Last updated
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3081-035 | WI | Primary |
Addresses
Primary practice location
331 E Prairie View Rd
Chippewa Falls, WI 54729-3463
Mailing address
203 E Maple St
Thorp, WI 54771-9224
Phone (608) 358-1932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38632700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
509 E S Ave
Chippewa Falls, WI 54729-3402
Phone (715) 726-9077
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3081-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Family Eye Care LLC | Optometrist | Current | Accepting new patients |
| Cardinal Family Eye Care LLC | Optometrist | Current | Accepting new patients |
Locations
509 E South Ave
Chippewa Fls, WI 54729
Phone (715) 669-5631
201 E Hill St
Thorp, WI 54771
Phone (715) 669-5631
Organizations & group practices 2
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.
-
- Optometrist
- Thorp, WI
- NPI 1083808802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1396943049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E MAPLE ST",
"city": "THORP",
"state": "WI",
"postal_code": "547719224",
"telephone_number": "608-358-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 E PRAIRIE VIEW RD",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293463",
"telephone_number": "715-726-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELOUNGY",
"first_name": "RYAN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-04",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3081-035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38632700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.