Individual provider Active NPI

Ryan Nghiem Ngo, OD

  • Optometrist
  • Pasco, WA
National Provider Identifier
1407321508
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.60976602 Issued in WA
Practice address
4820 Road 68
Pasco, WA 99301-9009
Phone
(541) 567-5283
Fax
(541) 567-5284
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD.OD.60976602 WA Primary
Optometrist 152W00000X AT4812 OR

Addresses

Primary practice location

4820 Road 68
Pasco, WA 99301-9009

Mailing address

4003 Road 96
Pasco, WA 99301-1565
Phone (503) 380-2285

Other practice location 1

2675 E Lincoln Ave
Sunnyside, WA 98944-2485
Phone (541) 567-5283

Other practice location 2

1350 N 1st St
Hermiston, OR 97838-1102
Phone (541) 567-5283

Other names 1

  • Nghiem Sy Ngo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20201217001890 WA Practitioner - Optometry 8224440110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2675 E Lincoln Ave
Sunnyside, WA 98944-2485
Phone (509) 839-4575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT4812ORMDOptometrist
OD.OD.60976602WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 5, 2021 Accepting new patients
Everyday Eye Care PLLC Optometrist CurrentSince May 2, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 5, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients

Locations

1350 N 1st St
Hermiston, OR 97838
Phone (541) 567-5283

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

4820 Road 68
Pasco, WA 99301
Phone (509) 543-7947

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

2675 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 628-7247

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 4

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1407321508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 ROAD 96",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011565",
            "telephone_number": "503-380-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019009",
            "telephone_number": "541-567-5283",
            "fax_number": "541-567-5284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 E Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "989442485",
            "country_code": "US",
            "telephone_number": "541-567-5283",
            "fax_number": "541-567-5284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978381102",
            "country_code": "US",
            "telephone_number": "541-567-5283",
            "fax_number": "541-567-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "RYAN",
        "middle_name": "NGHIEM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.60976602",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT4812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGHIEM",
            "last_name": "NGO",
            "middle_name": "SY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.