Individual provider Active NPI

Ryan Gregory Felten, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1407239254
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2052 Issued in AZ
Practice address
12450 N 32ND St
Phoenix, AZ 85032-7160
Phone
(602) 494-0054
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2052 AZ Primary

Addresses

Primary practice location

12450 N 32ND St
Phoenix, AZ 85032-7160

Mailing address

31521 N 48TH St
Cave Creek, AZ 85331-4403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150729009361 AZ Practitioner - Optometry 2769796184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenician Eye SpecialistsGroup PAC ID 8224455662, 2 clinicians
James K McPhelan OD PCGroup PAC ID 3375618002, 6 clinicians

Practice addresses (Care Compare)

15033 W Bell Rd
Suite 150
Surprise, AZ 85374-3262
Phone (623) 232-2762

16429 N Tatum Blvd
Phoenix, AZ 85032-3458
Phone (480) 889-6044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Eyecare Center Optometrist CurrentSince Sep 15, 2016 Accepting new patients
James K McPhelan OD PC Optometrist CurrentSince Nov 10, 2017 Accepting new patients
Phoenician Eye Specialists CurrentSince Mar 1, 2022 Accepting new patients
James K McPhelan OD PC Optometrist CurrentSince Nov 10, 2017 Accepting new patients
John H McDougall OD Arizona PC Optometrist Past Accepting new patients

Locations

21300 N John Wayne Pkwy
Ste 105
Maricopa, AZ 85139
Phone (520) 201-3937

15600 N Black Canyon Hwy
#C102
Phoenix, AZ 85053
Phone (623) 232-2762

15600 N Black Canyon Hwy
Ste C102
Phoenix, AZ 85053
Phone (602) 661-7006

12450 N 32nd St
Phoenix, AZ 85032
Phone (602) 494-0054

16429 N Tatum Blvd
Phoenix, AZ 85032
Phone (480) 889-6044

16429 N Tatum Blvd
Ste 2
Phoenix, AZ 85032

15033 W Bell Rd
Ste 150
Surprise, AZ 85374
Phone (623) 232-2762

Organizations & group practices 5

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1407239254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31521 N 48TH ST",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327160",
            "telephone_number": "602-494-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTEN",
        "first_name": "RYAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.